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HomeMy WebLinkAbout042-1057-20-426 (3)Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal Information you provide may he used for secondary purposes (Privacy Law, s.15.(Y1 (1)(m)) omail Holders Name- City Village Township Tom and Lisa Mann I TOWN OF WARREN :ST BM Elov. Insp. BM Elev BM Descriphota: I oo.D1 I 10DID � � i,4i-ee. = IDD.D TANK INFORMATION TYPE ANUFACTURER (0 CAPACITY Septic Vj Dosing t m� c( Aeratio old TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Alt Intake ROAD Septic 40 f } tzc) Dosing I l t( ll f7 p l 11 Aeratiop Hold ■� � �V_�i1C�lra�lJl�1 PUMPISIPHON INFORMATION rg,GPt^^rtea Manufacturer Demand 9 G LLB t2 GPM Model Number TDH Lift I ^ Friction Los. `D System Head TDH f'DFt 1.0 Forcemaln Length Dia. 2 , t Dist. to Well gnII ARRORPTION SYSTEM -)a 7 1.0 County — St. Croix Sanitary Permit No: 648404 State Plan ID No Parcel Tax No: 042-1057-20-426 Secbon/Town/Rangandap No: 20.29.18.319A-41 STATION BS HI FS ELEV. Benchmark f All. BM Bldg. Sewer SUHt Inlet I1 3� 91.3Sr SUHt Outlet Dt Inlet f' Dt Bottom Header/Man. Dist. Pipe Bot. System ,I I t• g o 1).40 91•o r 9D.o Final Grade D �� St Cover BED/TRENCH Width r Length No. Of Tron as 7 PIT DIMENSIONS No Of Pds Inside b a Liquid Depth DIMENSIONS (D SETBACK SYSTEM TO P1L JBLDG IWELL LAKE/STREAM LEACHING Manufa rer j INFORMATION CHAMBER OR UNIT r t & 1� Type Of System: Ot , /� / I f Model Numb �;Gr 'f iTL�IT71i ii Eil � L�i'L_�i � d d.l Header/Manifold x Ho1e Si , x Hole Spacin Vent to Air Intakp p Qr i 10istnbution Pipo( 7� . Length ` Din Length Dla Spacing_ Qr)ll lYIVFR . D.n... rn Q—t— Mau vv IUntinrl nr At Grade Swatanas Only Depth Over Bodrironch Center 1 I j •� k Depth Over BodrTronch Edges xx Depth of Topsoil xx Seeded/Sodded I. ,j Yes No xx Mulched Yon U No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection f11: '-/4/2-23 Inspection 42: Location: 820 106TH ST 57) +e"'a') 1.) All BM Description = 1 I 2.) Bldg sewer length = I00 - amount of cover = > `f2 ` 3)DbS-r"t�"1a'+Pzp� Plan revision Required? Yes i No 26 Use other side for addifional informali n. �JJ n.,r. IncanrJnr'a Signature Cori, No. 1 68 rF:�)rr=nr7=n-klfilr=FFr \ C ra LE:_-_ _ _. Industry Services Division 4822 Madison Yards Way County e J C) J U N 15 2023 Madison, WI 53705 Sanitary Permit Number (to be filled in by Co.) _ P.O. Box 7162 Madison, W153707-7162 1 ' St. Croix County Coe Application State Transaction Number In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit Project Address (if different than mailing address) is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to the Department of Safety and Professional Services. Persorial information you provide may be used for secondary proposes in accordance with the Privacy Law, s. 15.04(1Xrn ') .. 'rv. LU I. Application Information Please Print All — 106-rirration Property Owner's Name �:1 t — Parcel 042 l 51 - D-C 2 40 Property Owner's Mailing Address k^�20 0\4 it Property Location Govt. Lot V City, ��a/te�,�/� Zip Phone Number 1 ,� f wI I iCode '/,, '/a, Section V • . 1 `vr 1/ J "l V T L N R IN E o 11. Type of Building (check all that apply) C1 or 2 Family Duelling — Number ofBedrooms Lot # I l Subdivision Name 5 u' t, �ublic/Commercial — Describe Use r� ' 1 v �^ Block # ❑City of ❑State Owned — Describe Use - i I lage of CSM Num r !)oe_ . loI 8P-g X 2 �' (�� 1 n ,rI of yVt� M Y� ✓� NIT III. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on Hue B. Complete line C if applira A New System Y System []Replacement Y er Modification to Existing System (explain) � g Y ( P ) Additional Pretreatment Unite lain ❑ (explain) B ❑Bolding Tank O In -Ground LJ"t-Grade ❑Mound Individual Site Design Other Type (explain) (conventional) C• ❑ Renewal Before Expiration a Revision h hange of Plumber 12 ❑Transfer to New Owner Ist Previous Permit Number and Date Issued �rq 8 qVN )Date l � IV. Dispersal/Treatment Area and Tank Infot nation: Z To _ S - Design Flow (gpd) Design Soil Application Rate(gpd/st) Dispersal Area Required (st) DispersA Area Proposed (st) System Elevation lso ,-I I011 i (0i2 Capacity in Total # of Manufacturer Tank Information Gallons Gallons Units (-'-10 6T�( w q •J y •� �" v � A RS New Tanks Existing Tanks V G Septic or Holding Tank 5 ISMS Dosing Chamber L(S�� - l e ,1 C ( VV y,1 ❑ ❑ V. Responsibility Statement- 1, the undersigned, assume responsibility/• for installation of the POWTS shown on the attached plans. Pber's Name (Print) Ilt.� 1t Plumbers i twe 'y¢ RCIPR`f-Number Business Phone Number 1-1 rue tic 231;c1(0 I'S. . 5--f21C Plumber's Address (Street, C1 State ZCode) VI. County/Department Use Only l� Approved Permit Fee $==;,.,.a, Date Issued Issuing Agent Signature o�' , for Denial Conditions f A ro ' s owl Q� SYSTEM OWNER: rem s �?s �,. rG is s; fe ►>-. 1. Septic tank, effluent filter and dispersal cell � u must be serviced / maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code I ordinances. SBD-6398 (R. 03/21) Ainuch to complete plans for the system and submit to the County only on paper not less than 8 1/2 x I I inches in size (D R 10. mm_!�;Aqa v D Z W, rn I W N m � m 00 "' 56 991.00 ico m^ N Zia S 00 N O O G n so ' 4 S CD Q a 3CD 4' ,� • Vie, N o r(D II < �n 0 � 8 e E C 3• Sp C `-, 0 a N .�. CD O a A yy co V�� co N Z O 0 Q e Nib II A n + Q- a� O ? ,=r Ln w f n @ �^ „ - p O n �' - Imo tr� (Da > > p c = g v� j NOW � y •� Q W �- (n W � 7 tQ p o n FF ^' v, to W t Z !� W S O }�^ { ? aa) ��� m < o g 77 o n o p " 22 B� o rn`o =Ln D a Ln r rn 3 a --I W � D Cr !g g y -- - _— 1 ry fD o a �� - - r I� p m (D g a6 u E0�o k�o `b tg�gi a;�D " d�I+4ja `d''s Fr 3 ' ;• $h: ,Y'E, fi, y Cz zO Z ' a dEE 1� � O a 4 g Vl �vr�, � 3 m 3 @ "��ta > rn 106TH ST sK o a � y C ,61 I; OC Property Owner/Client ADVANCED E N V I R O N M E N T A L Thomas Mann PIN: 042-1057-20-426 Site Address: 820 106TH ST, Roberts, WI 54023 County: ST Croix FLOW.• INDEX Pg. 2 SITE PLAN Pg. 3 SOIL DISPERSAL COMPONENT Pg. 4 TANK SPECIFICATIONS Pg. 5 DOSING AND PUMP SELECTION Pg. 6 FILTER MAINTENANCE Pg. 7 MANAGEMENT PLAN Pg. 8 MANAGEMENT PLAN Pg. 9 SOIL TEST DESIGN PARAMETERS Wastewater Type: Residential Estimated Wastewater Flow: 500 gpd Design Flow: 750 gpd SOIL & SITE EVALUATION.• POWTS Type: Non -pressurized Conventional Limiting Condition Depth: 110" Maximum System Depth: 74" Contour Elevation: 96.00' Limiting Condition Elev: 86.83' Land Slope: 3% Pg. 10 SOIL TEST Pg. 11 SOIL TEST Pg. 12 SOIL TEST Pg. 13 SOIL TEST Pg. 14 SOIL TEST Pg. 15 SOIL TEST # Bedrooms (residential) : 5 # Occupants (per capita flow) Public Facility Flow: NA Treatment Level: Effluent 1 Code Required Separation: 36" Soil Texture: GRS In -situ Soil Application Rate: 0.7 gpd/ft2 Dispersal Cell Loading Rate: 1.0 gpd/ft2 POWTS DESIGNED PURSUANT TO: In -Ground Soil Absorption Component Manual (Version 2.1) Comments: New 5 bedroom home. No home business. (2) 110' Infiltrator Quik4+ STD trenches with serial dosed -gravity distribution. SIGNED: 6/12/2023 ADVANCED ENVIRONMENTAL LLC W11932 560TH AVE, PRESCOT'T, WI 54021 (651) 327.0074 RYA N G. BECHEL D-2263-7 = PRESCOTT \V I 11#01ill/IIIIIIW% U v a m W Y o H190� LL' F o o x �_ o r -P r R aL v 1S > CL. � , <Y m_ ✓=�i v t S c;`. vl c� �i ao o c o m Q OG q < N w z O O E b� T� f a cnNZ3 v) m a3pp '� o A° Or+ r w t in `� t CIA o E Y d my '.�-_. 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LA ' � s J � N O� �w �w OC 06 J M co E W _ O C R a TANK SPEC/FICA TIONS • Minimum cover = 6 inches; Maximum cover = 8 feet (unless specified by manufacturer) • All manhole covers shall extend 4 inches above final grade • If the tank is within 2 feet of final grade, insulate the lid to an R-Value of 10 • Minimum 18" of cover required over building sewer; insulate if greater > 30' long and < 42" from grade or if < 60" from grade under all high traffic/snow cleared areas (driveways etc.) • If forcemain will have a J-Hook" assembly, drill a weep hole in the "hook" • Building sewer. No 90's, keep 3 feet between 45s, maintain 1 inch in 8 feet (1%) slope, install cleanouts Weatherproof control box compliant Manhole 44" above with SPS 316 & NEC 300- Separate -�� grade with approved 97� pump and alarm circuits required. 96..7755` 7V locking device , _ , Clean Out k Disconnect forcemeln in 4" SCH 95.20' 92.58t pipe across tank tion to prevent pipe tAirt*hl ................4- H or wer Effluent Filter g 1.5" PVC Float Tree --� -- (Pump Off) Weep Hole 88.5 '&L � 4" Pump Bk1Ch t3" Approved Bedding Material Beneath Tank '-------------------------------------------------------------------------------------------------------------------------- Tank Manufacturer/Model: Wieser - WLP1585/950 --------------------------------------------------------------------------------------------------------------------------- Filter Manufacturer/Model: Best - GF-10 -------------------------------------------------------------------------------------------------------------------------- Painei Ivi&Iiufa%tiircI/]VI U is SUE n�ivlTluiis- Taitonieiii 163}- I fill t II 4- CAST -A -SEAL 11114- CAST -A -SEAL II I _ _ fill 1 � FILTER OR I I \ I I i I BAFFLE fill I I i iill It ►III 4- VENT !211 ITANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS WLP1585/950 TANK SPECIFICATIONS DIMENSIONS: WALL: 3- BOTTOM: 3' COVER: 6- MANHOLE: 24- I.D. PRECAST CONCRETE RISER HEIGHT: 53-3/4' O.D. LENGTH: 183-3/16- O.D. ' wpl ln: IVI-J%10 V.V. BELOW INLET: 43- O.D. LIOLXD LEVEL: 36' .. WEIGHT: TANK 13,010 LBS WEIGHT: COVER 9.300 LOS INLET AND OUTLET: 4- CAST -A -SEAL BOOT OR EQUAL INLET AND OUTLET BAFFLE AND FILTER: x WISCONSIN. SEE DETAIL �t0 m 8 (OTHER STATES SEE CHART) K LIQUID CAPACITY: 41.67 GAL/1N (SEPTIC 25.00 GAL/IN (PUMP; W TANK CAN BE USED AS: = SEPTIC/SEP-nC. SEPTIC/PUMP 00 OR SEPTIC/SIPHON Y aU-) COVER: MIX DESIGN /e (NO FIBER) tr'f TANK: MIX DESIGN /9 (SMALL FIBER) ? I O CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT WIESER CONCRETE 00 0 n 4 J Z V # DRAWINGS SUBMITTED FOR APPROVAL APPROVED BY: SHEET NO - APPROVAL DATE: 'I PROOICTS NEEDED BY• o— A \ !�% j L w n i , 11i a O U 11 � o a Inn II.III..Ill w Zj lames o fA C! 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L -10 •� 1 ® MANAGEMENT PLAN The owner of this Private Onsite Wastewater Treatment System (POWTS) shall be responsible for its perpetual operation and maintenance pursuant to requirements of SPS 382-384, Wisc. Admin. Code. This management plan identifies operation and maintenance activities necessary to ensure long-term system performance. Tasks that should be performed by the homeowner are ideniified. Professionai management iasks shaii be performed by a regisiered P01ily S Maintainer in accordance with SPS 383.52 (3), Wisc. Admin. Code, however, it is the homeowner's responsibility to ensure all tasks get accomplished in a timely manner. Pursuant to SPS 383.52 (2), Wisc. Admin. Code, this system shall be considered a human health hazard if not maintained in accordance with this approved management plan. ► Keep this Management Plan with your Septic System Owner's Guide. ► Keep copies of all pumping records, maintenance activities and repair invoices with this document. ► Review this plan with your POWTS Maintainer at each visit; discuss any changes in product use, activities, or water -use. MANAGEMENT FREQUENCY Design Parameters Number of Bedrooms 5 Design Flow (gpd) 750 Soil Loading Rate (gpd/ft2) 0.7 Standard Effluent Quality Effluent 1 Biological Oxygen Demand (BOD) 220 mg/l Total Suspended Solids (TSS) 150 mg/1 Fats, Oils, Greases (FOG) 30 mg/I Treated Effluent Quality Biological Oxygen Demand (BOD) - mg// Total Suspended Solids (TSS) - mg// Fats, Oils. Greases (FOG) - mg// Max Effluent Particle Size (in) 1/8 Homeowner Management Tasks Check (listen, look) for leaks in toilets and dripping faucets. Repair leaks promptly. Regularly check for wet or spongy soil around your soil treatment area. Contact service provider if issues arise. Control burrowing animals (gophers, groundhogs, etc.) Keep bikes, vehicles, snowmobiles and other traffic off treatment area. Alarms - Contact your service professional if any alarm signals. Lint Filter - check for iint buiidup and clean when necessary. if you do not have one, add one after washing machine. Effluent Filter - Inspect and clean twice peryear at a minimum. Caps - Make sure that all caps and lids are intact and in place. Inspect for damaged caps often. Fix or replace damaged caps. System Specifications Septic Tank Manufacturer Septic Tank Capacity (gallons) Effluent Filter Manufacturer Effluent Filter Model Pump Tank Manufacturer Pump Tank Capacity (gallons) Pump Manufacturer Pump Model Dispersal Cell Type Wieser 1583 Best G F-10 Wieser 950 Per Installer Per Installer Non -pressurized Conventional Pretreatment Unit Description Nj Professional Management Tasks Effluent Screen - Check and clean per manufacturer recommendations. Liquid levels - Check sludge/scum/effluent levels in all system tanks. Recommend if tank(s) should be pumped. Pump all compartments every 36 months at a minimum. Inspect tank inlet and outlet baffles (if applicable) Check drainfield effluent levels (if applicable) Verify pump and alarm system functions (if applicable) Inspect wiring for corrosion and function (if applicable) Clean drainfield laterals (if applicable) Check event counter/elapsed time meter and evaluate water usage rate compared to system design flow. Check dissolved oxygen and effluent temperature in tank. Check for surfacing of effluent or other signs of problems. Verify inspection pipes are capped and intact. Provide homeowner with list of management results and any action to be taken. Septic system replacement area: Protect secondary system site from traffic, compaction, etc. (if applicable) POWTS REGULATOR. ADDRESS: PHONE.' ST Cro/x County Zoning Off/ce 1101 Carmichael RD, Suite 1200, Hudson, W/ 54016 (715) 386-4680 PAnA 7 START-UP & OPERA T/ON For new construction: Prior to system operation, check septic/pump tanks for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cells. If high concentrations are detected, have the contents of the tank removed by a licensed septic professional prior to use. cy-tcm r.tnrt shcH not o .,hen r-nlr.. arc frozen. of the infiltrative r,,rH.nn VrJIV,,, JlUll 4r.1 J114„ I,VI VVV4r �YY,IVI, JV„J 4rV II4L6.11 4l the II„,I I, UII Y... JVI,UL. �... During power outages: Pump tanks may fill above normal high water levels for system utilizing pumps. When power is restored, the excess wastewater will be discharged to the dispersal cell in one large dose potentially resulting in overloading of the cells. Backup or surface discharge of effluent may also result. To avoid this situation, it is highly recommended to have the contents of the pump tank removed by a licensed septic professional or have a septic professional manually dose the system to return the pump tank to normal operating levels prior to restoring power. Do not drive or park vehicles over any septic system components. Do not drive, park over, or otherwise disturb or compact the area within 15 f ..P_.t rinwn$InhP_. of anv m n t i n d nr at orariP systP_.m nr se. r_.nnrinry Sentir Svstpm Site. MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an appropriately licensed individual or business. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum, and to check for any backup or ponding of effluent on the ground surface. Access openings used for service and assessment shall be sealed watertight upon completion of service activities. Any unsound/defective access openings shall be replaced immediately. The dispersai ceii(s) shaii be visuaiiy inspected to check the effluent ieveis in the observation pipes and to check for any ponding of effluent on the ground surface. Ponding of effluent on the ground surface may indicate a failing condition that requires immediate attention by a licensed septic professional. Tanks must be pumped when sludge accumulation is within 12 inches of the bottom of the outlet baffle, or whenever the scum layer is within 3 inches of the bottom of the outlet baffle. In no case shall total sludge and scum volume occupy greater than 25% of the tank liquid capacity. The effluent filter shall be cleaned as necessary to ensure proper operation. The filter should not be removed unless provisions are .--�Je to retain � llud In Vie tank that lougf- off Vi t:lt r during I N th f:lte.. :- nrouc �u rc�onr aunua ur urC lone trial nid'y,ruu�rr un Vie triter uurrn�'rCirlutidi. n uic iniel ra 8yiiipj:rcu with an dio'rfri, the riitePSiidn u8 serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm and should be evaluated by a licensed septic professional. Pre-treatment components shall be maintained and serviced by a licensed septic professional according to the manufacturer's recommendations. CONTINGENCYPLANS If the septic tank, or any of it's components, become defective the tank or component shall be immediately repaired or replaced according to the original system design specifications. If a dosing tank, pump, pump controls, alarms, or related wiring becomes defective, they shall be immediately repaired or replaced with components of equal performance. If the soil treatment component fails to accept wastewater or discharges wastewater to the ground surface, it shall be repaired or replaced by; increasing basal area (if toe leakage occurs), rebuilding the component at the secondary system site (if identified), or removing and replacing biologically clogged absorption and dispersal media and associated piping. If repairs or rebuilding is not possible, a new soil and site evaluation must be performed to locate a suitable replacement area if one has not already been identified. If no replacement area is available, a holding tank may be installed as a last resort replacement POWTS. ABANDONMENT If the septic system fails and/or is permanently taken out of service, the system shall be abandoned according to SPS 382-384, Wisc. Admin. Code abandonment regulations. Requirements include: All piping to tanks shall be disconnected and abandoned pipe openings sealed. The contents of all tanks shall be removed and disposed of by a licensed septic professional. -Tanks shall be crushed & filled, or removed. - A septic system abandonment notification shall be submitted to the appropriate local governmental unit. WARNING!! SEPTIC, PUMP, AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC TANK, PUMP TANK, OR OTHER TREATMENT COMPONENT UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ALWAYS CONSULT A LICENSED SEPTIC PROFESSIONAL BEFORE DOING ANY WORK. Wiscon I J tonal Services Division tf�iG®s11 _ i SOIL EVALUATION REPORT L _ 20 l3 — JUN 15 2023 In accordance with SPS 385, Wis. Adm. Code Countv Attach com fete site plan on paper nqt less thaO 8 1/2 x 11 inches in size. Plan must include, ST Croix but not limit d to: vertiEaFa4d h�rit' nt l refererjce point (BM), direction and percent slope, Parcel I.D. scale or dim nos l Abu end distance to nearest road. 042-1057-20-426 Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes Privacy Law, s. 15.04 1 m . Property Owner Property Location: Thomas & Lisa Mann Govt. Lot: SW '% SE '/4 S 20 T 29 N R 18 W Property Address Lot # Block # Subd. Name or CSM# 820 106TH ST 10 CSM 27-6150 City State Zip Code Phone Number ❑ City ❑ Village ❑■ Town Nearest Road Roberts WI 54023 (920) 629-0592 Warren 106TH ST ❑■ New Construction Use: ❑■ Residential/Number of bedrooms 5 Code derived design flow rate 750 GPD [:1Replacement ❑ Public or commercial — Describe: ZPDjL- Y Parent material Loamy drift over sandy and gravelly outwash (Burkhardt-Sattre) Floodplain elevation if applicable NA ft. General comments and recommendations: Recommend in -ground "conventional" trenches at 51" minimum depth with 0.7gpd/ft2 loading rate between borings 81-83 only. LF = >110" (observation extent b/w 131-133) **Retest to relocate system for home under construction- 1❑ Boring # ❑ Boring ❑■ Pit Ground surface elev. 94.70 ft. Depth to limiting factor >110 in. Snil Annliratinn Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 *Eff#2 1 0-9 7.5YR 2.5/3 1 2mgr ds cs 3c-vf 0.6 0.8 2 9-25 7.5YR 4/4 - I 2mabk mfr gs 2c-vf 0.6 0.8 3 25-51 10YR 4/6 - sl 1 csbk mfr cw 1 c-vf 0.4 0.7 4 51-82 10YR 5/4 - s-grs Osg ml cw - 0.7a 1.6a 5 (10-15% gravel) 82-110 10YR 5/3 - s-cos Osg ml - - 0.7a 1.6a 2❑ Boring # ❑ Boring ■❑ Pit Ground surface elev. 95.45 ft. Depth to limiting factor >112 in. Cnil Gnnlirntin Rata Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 *Eff#2 1 0-11 7.5YR 2.5/3 1 1-2mgr mfr cs 2c-vf `( a� L Q.8' 2 11-36 7.5YR 4/4 - sl 2msbk mfr cs 1c-vf 0.6 1.0 3 36-49 10YR 3/6 - grs Osg ml gw 1 m-vf 0.7a 1.6a 4 49-92 10YR 5/3 - cos-grs Osg ml cw 0 7a 1.6a 5 92- 10YR 5/4 - s-cos Osg ml - 0.7a 1.6a 91•0 af r S3• 89•'f �7iinra"i1�:318:i�1�i7LUC1�ruf"T/1�7iTi�l.�f.�i7L1�Cf{.11riiTirAi Ei71 r—M. TI1 CST Name (Please Print) Signature CST Number Ryan Bechel (Advanced Environmental LLC.) 1330832 Address Date Evaluation Conducted Telephone Number W11932 560TH AVE, Prescott, WI 54021 06/07/23 (651) 327-0074 Z5bU-bJJU (KU4/15) ❑3 Boring # ❑ Boring ❑■ Pit Ground surface elev. 89.85 ft. Depth to limiting factor '115 in. Cnil AnnlinM;-- 0-4- Horizon Depth In. Dominant Color Munsell Redox Description Cu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ftz *Eff#1 'Eff#2 1 0-9 7.5YR 2.5/2 - I 3mgr mfr cs 3c-vf 0.6 0.8 2 9-16 1 OYR 3/6 - sl 2fsbk mfr cs 2c-vf 0.6 1.0 3 16-35 1OYR 4/6 - s-grs Osg ml cw 1c-vf 0.7a 1.6a 4 35-73 1 OYR 5/6 - cos-grs Osg ml cw - 0.7a 1.6a 5 73-115 1OYR 5/4 - s-grs Osg ml - 0.7a 1.6a 4❑ Boring # ❑ Boring ■❑ Pit Ground surface elev. 98.75 ft. Depth to limiting factor 23 in. Cnil Annh—finn Rofc Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 "Eff#1 "Eff#2 1 0-11 7.5YR 3/2 - sil 1 mgr mfr-mfi gs 2m-vf 0.4c 0.6 2 11-23 10YR4/4 - sil 2mabk mfr gs 1m-vf 0.6 0.8 3 23-30 10YR 4/4 f I d 7.5YR 5/8 & 10YR 5/2 sil 2mabk mfr-mfi cw 1 m-vf 0.6 0.8 4 30-49 7.5YR 4/4 f2d 7.5YR 518 & 10YR 5/1 sl 1 msbk-Om mfr-mfi cw 1 m-vf 0.2 0.6 5 49-61 7.5YR 414 - grs-grcos Osg ml - 0.7a 1.6a 'Horizon 4 doe not meet SP 385.30 exemptions for discounting Redoximor hic Feature 5❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor �in. Cnill Annli—fine Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 'Eff#1 *Eff#2 * Effluent #1 = BOD, > 30 s 220 mg/L and TSS > 30 s 150 mg/L * Effluent #2 = BOD, > 30 s 220 mg/L and TSS > 30 s 150 mg/L Y ej r M E O U m C m (/ / O o� O = o �o O o m II `L M co 57 m � 0 O � V Z7 �I r (D cD N N 0 N M / _ r Q N N m (� . C N m 1 T~ LU ri o v o o c aa) c mw m .N E .N o 0 U pd— 1S HINT V) m � 0 O � V Z7 �I r (D cD N N 0 N M / _ r Q N N m (� . C N m 1 T~ LU ri o v o o c aa) c mw m .N E .N o 0 U pd— 1S HINT V) E _ � W 0 U ��E a= GaVa9e co O 1 O M 4-J 22 O Y ro Lr) Lf) N Q1.—I C m 1 0� 00. 00 96 0O.S6 00. "6 --- 6- \ QJ v a W 0 � z c � ,D � v N Q �o E :; N o O�O�04 ° o Fo ; M �I th g � can vco,i �°- N � N d J In dro !9 LJ •5B3�J go rN-1 1018128 BETH PABST REGISTER OF DEEDS ST. CROIX CO., WI(CE®®TIC'E® SURVEY MAP RECEIVED FOR RECORD LOCATED IN PART OF THE SW-1/4 OF THE SE1/4 AND PART OF THE 09/04/2015 4:10 PM NW1/4 OF THE SE1/4 OF SECTION 20, T29N, R18W, TOWN OF WARREN, EXEMPT #: ST. CROIX COUNTY, WISCONSIN. REC FEE: 30.00 COPY FEE: 3.00 PAGES: 2 UNPLgTTED LANDS _ - N89'23'37" E 462.94' ------- — OB @ 33' 133' g LOT 13 Ita_I�— NW1/4-SEI/4 _ N I� h SW7l4-SE1/4 2.00 Acres OWNER 87,213 Sq. Ft. 4 i iN — IA STEVE DALTON — 930 BRAVE DRIVE N86'24'00'E 462.65 m SOMERSET, WI54025 Irn c I Ia h SURVEYOR Its— � LOT 12 0o I� I� EDWIN C FLANUM In rz No 2.00 Acres I IQ �v NORTHLAND SURVEYING, INC. Im ur 87,326 Sq. Ft. �� Y,5 AMERY, WI54001 Cc IZ B i� N82'0537'E 464.99 � I I� 10:) II I=. • ��� Icn jr- C S� LOT 11 N ; --AI° 2.01 Acres 1 Im l01 © 87.393 Sq. Ft. N76°5739'E A9015� co, O � } z F LOT 10 _ o N 2. Acres �� Ir F m 89.613 Sq. Ft. \ \ kn o vwi a w h w0U i ....- 1C 521.31' \-4CC LL 13032" S16.3''�'2w \ 0�6 CSm- I\�m 1 P 6 43, ��C'�C�7582 \\ z w z o nzzZ \ 0J�- �� o LEGEND omS J \ ST. CROIX COUNTY SECTION CORNER 1N \ POSITION VERIFIED WITH TIES OF o RECORD OR MONUMENTED AS NOTED O 3/4' X 18' IRON REBAR SET WEIGHING S7g 3� 1.50 LBS. PER LINEAR FOOT 104.66 I 0 V O.D. IRON PIPE FOUND z M 3/4' IRON REBAR FOUND I i m a NI O Q S1/4 COR. SEC 20 �1 S SOIL BORINGS SE COR. SEC. 20 ALUM. MON. FD ALUM. MON. FD. I_ � SOUTH LINE OF THE SE1/4, SEC. 20 N89'10'S6'E 498.07' J� J� N69'10'56'E 2106.42' THIS INSTRUMENT DRAFTED BY EDWIN FLANUM JOB NO 15-02 DWG - CSM DATE 5-19-15 SCALE IN FEET 1" = 120' 120 0 120 SHEET 1 OF 2 SHEETS St. Croix County 1018128 Page 1 of 2 Vol. 27 Page 6150 F > 10 I �sr-Za�S- OZ.7 SP H. ,k.f U 3 20 i Wis. Dept. of Safetyfand Professional Services SOIL EVALUATION REPORT Page _ of Division of Safet*and9ffiiQRpQlX r'O(.Il`!TY �-OMMUNI T Y 0 - v l-L .in ME NTince with SPS 385. Wis. Adm. Code County Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must ' X include, but not limited to: vertical and horizontal reference point (BM), direction and parcel .D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. 64 1657 -•Z 6 Please print all Information. Re eyed by Date Personal Information you provide may be used for sernndary purposes (Privacy Law. s. 15.04 (1) (m)). Property Owner % Property Location Jw -T E S % r tr G 0n/ /�OAJ Govt. Lot A.)1/4 of 1/4 < <1 T f N R /fig E (or) Property Owner's Mailin Address ( L�t ## Block # Subd, Na cr CSM# city State Zip Code Phcne Number ❑ City ❑ Village ®Town Nearest Road Jr'�*' r ) V�<< 2.c—i /✓ O /�'� St New Construction Use: ® Residential! Number of bedrooms :3 " `f Code derived design flow rate G In ❑ Replacement ❑ Public or commercial - Describe: Parent material Focd Plain elevation if applicable 't General comments 2711 and recommendations: J 1J fr'rn AP, %l Boring # ElBoring / ® pit Ground surface elev. R. Depth to limiting factor ' r? in. Rnil .lrnlirafinn Rata Horizon Depth in. Dominant Color Munsell Redox Description Cu. Sz. Cent. Color Texture Structure Gr. Sz. Sh. onsisterce Boundarl Rocts GPD r; -' ff;l 'tff92 lei " f' Z ❑ Boring # ❑ Boring vJj r2 I (I7 © Pit Ground surface elev. / 7. 7 ft. Depth to limiting factor / / -/-- in. Rn{I lnc iratinn Rata Horizon Depth in. Dominant Color Munsell Redox Descnpuon Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. onsisterce 3oundarj Roots GFD't ' f`:1 ' f`#2 fx ,, I ttfluent 91 = BOD , > 30 < 220 mg:L and 7451,30 < 1,50 r;g;L Effluent ti2. = tlUu , < so n:c : L and I as :j Jl' MC: L CST Nana lease Print) c Signature f CST Number t IGxr.tttC nw-�,, '7'►*mow.. (• rr, �+,1 �;.,?`cji1— Adrlroa:+ p.:Ue E, Muttli, n (' h lurtu,l Tolopht f t Mt.r1 ., Property Owner , v I' �'f r .1 ❑ Boring Parcel ID # Boring # i © pit Ground surface elev. ) / • .> ft. Depth to limiting factor r ) Page — of _-- -- .Rnil Aonli— inn Rab- Horizon Depth in. Dominant Color k1unself Reeox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. 'onsistence Boundary Roots GPDrft ff,".-1 -ff 2 %.rA is r Bering Ground surface e!ev. ft. Depth to limiting `actor P., cc,l Acclicat!on Ra?a Homer Depth Dominant Ccler Raco,x Cescr'pJcn Ta: ture S'ructure cns,stence _eurdar, Rcots GPD ft in. Munsell Qu. Sz. Cent. Color Gr. Sz. Sh. -f`r:1 .ff4 2 I Sorinc Lj 6onng 1-1 Pit Ground surface elev. _ _ _ ft. Depth to limiting !actor _ :n. Scil Acclicaticn Rate Horizon Depth n. Dominant Color P,hrnsell Reeox Uescr.puon Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. unsistecce cunuar/ Roots CFD'ft f �t " !f; 2 I Effluent 4l = BOD > 30 _` K0 n,r.•1- an: TSS >30 -J m,:L Effluent :2 = BCD . < 30 mgiL and TSS < 3C mc,L 1 h. Dept. o J.tt*\�t\ and I'no(e;itnnal is an alum u1!p,,r'untte pro\'Id'm and Cmpl,,\,:r. n,O.l to aiCC.li ;,•I vice; ur 1Wcd mam;,II in an ail;nru,: f„rw; i. coni;tct tlrc ticpartnt.nt at or 1 11 tlnot:-h Relay:. N NEW RESIDBdCE FOR $ lil,' �8R20144066tT5. VrT u A.0 /l'wy\ xBtninau A.W. .W...r... 14 [r ®a NEW REsMCE KQ W F uv+AND TOMMANN# a g 82D 106THSTREET MNiZiRiU11D�RfROM, N Wisconsin Department of Safety and Professional Services Division of Industry Services SOIL EVALUATION REPORT In accordance with SPS 385, Wis. Adm. Code Countv Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must include, ST Croix but not limited to: vertical and horizontal reference point (BM), direction and percent slope, Parcel I.D. scale or dimensions, north arrow, and location and distance to nearest road. 042-1057-20-426 Please print all information. Reviewed by Date Personal information you provide may be used for secondary purWposes Privac Law, s. 15.04 1 m . Property Owner Property Location: Thomas & Lisa Mann Govt. Lot: SW '/4 SE '/4 S 20 T 29 N R 18 W Property Address Lot # Block # Subd. Name or CSM# 820 106TH ST 10 CSM 27-6150 City State Zip Code Phone Number ❑ City ❑ Village ® Town Nearest Road Roberts IWI 154023 1 (920) 629-0592 1 1 Warren 106TH ST ❑■ New Construction Use: X Residential / Numberof bedrooms 5 Code derived design flow rate 750 GPD ❑ Replacement ❑ Public or commercial — Describe: Parent material Loamy drift over sandy and gravelly outwash (Burkhardt -Satire) Floodplain elevation if applicable NA ft. General comments and recommendations: Recommend in -ground "conventional" trenches at 51" minimum depth with 0.7gpd/ft2 loading rate between borings 131-83 only. LF = >110' (observation extent b/w B1-133) "Retest to relocate system for home under construction" 1❑ Boring # ❑ Boring ® Pit Ground surface elev. 94.70 ft. Depth to limitingfactor>110 in. Soil I Aoolication Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft' 'Eff#1 'Eff#2 1 0-9 7.5YR 2.5/3 - I 2mgr ds cs 3c-vf 0.6 0.8 2 9-25 7.5YR 4/4 - I 2mabk mfr gs 2c-vf 0.6 0.8 3 25-51 10YR 4/6 - sl 1csbk mfr cw is-vf 0.4 0.7 4 51-82 10YR 5/4 - s-grs Osg ml cw - 0.7a 1.6a 5 (10-15% gravel) 82-110 10YR 5/3 - s-cos Osg ml - - 0.7a 1.6a ❑ Boring # ❑ Boring ■❑ Pit Ground surface elev. 95.45 ft. Depth to limiting factor > 112 in. Snit Anoli. ion Rate I Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 'Eff#1 'Eff#2 1 0-11 7.5YR 2.5/3 - I 1-2mgr mfr cs 2c-vf 0.6 0.8 2 11-36 7.5YR4/4 - sl 2msbk mfr cs 1c-vf 0.6 1.0 3 36-49 10YR 3/6 - grs Osg ml gw 1 m-vf 0.7a 1.6a 4 49-92 10YR 5/3 - cos-grs Osg ml cw - 0.7a 1.6a 5 92- 10YR 5/4 - s-cos Osg ml - - 0.7a 1.6a �3�jrm��:iB:t�I�f7L1�C�Yl/I"iTilltFi"iTit•t.^f.�7LutfMl�rTir��7iffRSSiE��8:1�]tIC1L1� .1<fi�FTiTit•tti't�`C7GUIii;i/� CST Name (Please Print) Signature CST Number Ryan Bechel (Advanced Environmental LLC.)$�t 1330832 Address Date Evaluation Conducted Telephone Number W 11932 560TH AVE, Prescott, WI 54021 06/07/23 (651) 327-0074 Stsu-Asj3lU (KU4/10) aBoring # ❑ Boring 115 ❑� Pit Ground surface elev. 89.85 ft. Depth to limiting factor > in. Soil Aoolication Rate Horizon Depth In Dominant Color Munsell Redox Description nu A7 Cont Cnlnr Texture Structure Gr S7 Sh Consistence Boundary Roots GPD/Ft2 `tTW l --tiTSL 1 0-9 7.5YR 2.5/2 - I 3mgr mfr cs 3c-vf 0.6 0.8 2 9-16 1 OYR 3/6 - sl 2fsbk mfr cs 2c-vf 0.6 1.0 3 16-35 1OYR 416 - s-grs Osg ml cw 1c-vf 0.7a 1.6a 4 35-73 1 OYR 5/6 - cos-grs Osg ml cw - 0.7a 1.6a 5 73-115 10YR 5/4 - s-grs Osg ml - - 0.7a 1.6a 4❑ Boring # ❑ Boring ❑■ Pit Ground surface elev. 98.75 ft. Depth to limiting factor 23 in. Soil Annlication Rate Horizon Depth In. Dominant Color Munsell Redox Description Ou. Az Cont Color Texture Structure Gr Sz Sh. Consistence Boundary Roots GPD/Ft2 'tTM I I `tTT#2 1 0-11 7.5YR 3/2 - sil 1 mgr mfr-mfi gs 2m-vf 0.4c 0.6 2 11-23 10YR 414 - sil 2mabk mfr gs 1m-vf 0.6 0.8 3 23-30 10YR 414 fld 7.5YR 5/8 8 10YR 5/2 SO 2mabk mfr-mfi cw 1 m-vf 0.6 0.8 4 30-49 7.5YR 4/4 f2d 7.5YR 518 8 10YR 5/1 sl 1 msbk-Om mfr-mfi cw 1 m-vf 0.2 0.6 5 49-61 7.5YR 4/4 - grs-grcos Osg ml - - 0.7a 1.6a Horizon 4 do4 not meet S 385.30 exemptions for discounting Redoximor hic Feature 5 ] Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Snil Annliratinn Rata Horizon Depth In Dominant Color Munsell Redox Description Qu A7 Cnnt Cnlnr Texture Structure Gr S7 Sh Consistence Boundary Roots GPD/Ft2 `tTT#1 'tTT#L * Effluent #1 = BOD, > 30 <_ 220 mg/L and TSS > 30 <_ 150 mg/L * Effluent #2 = BOD, > 30 1 220 mg/L and TSS > 30 5 150 mg/L r C F V7 G F 4 z � Y � L m U m (n C_ 0- C Ln Q>) m 2 E O > A m ■--� o,� II O � m OWQ hO o � � C o v 2 � 9 o x� P E C_ , aVage , II W co O I1 / I , I , pec m � I � 01 ,--1 C m L Ez Co I aJ (10 0- 0 U i C > >_ 4 spos pa U109 . i 'a g�n7S/O O a-' m a o c 1S H1901 > a � � 10 W C v N VC U N 0 3 O a c Ln OTCLn o W = O C V ?� N 8 3 C)03 F- O .. No o .0 K d J '0 Ln l0 01� : 22 O Y rO N 0 0 b _Ln O Ln O C O a-i b b o 0) g 9,615 II O N Cl) M N m `� OQ o �- H - 9 0, , e 2 N 0 6� mU 006 _ > - OQ�6�— — _;0) G7 .2 .CD M 6 0LZ5 _ uj L ' 89 8S o N Ln O N LQ m � M N n 0 0 M II ci N Wis. Dept. of Safe!yAnd Professional Services SOIL EVALUATION REPORT page Division of Safety andffailG&$d I-- C3'.11.':! INN in Mtj�Vince with SPS 395 LVis. Adm. Cede County / X Attach complete site plan on paper not less than 8 1.2 x 11 inches in size. Plan must include, but not limited to: vertical and hoczontal reference point (WA). direction and parcel .D. percent slope, scale or dimensions, north arrow• and location and distance to nearest road. 64 Z 1657 — 26 Please print all information. Re wed by Date Personai informwion you provide may be used for secandary purposes iPr.vacy La-.v. s. 15.04 (1) (m)). Property Owner Property Locatten d/tJ Govt. Lot A.) -- 114 u 4 114 ct T �. `� N R %' L tcr) W Property Owner's kladin Address LQt K Block 5r d. Nam6 cr CS%11" City State Z p Code Phcre Number ❑ City ❑ Village ®Town Nearest Road 21 New Construction Use: ® Residential k iumcer of bearecrr.s 3 - `i Cede deri•: eo design flow rate r/J O ' GPD ❑ Replacement ❑ Public or commerctai - Descnce: Parent material _ _ F:ocd Plain elevation if applicable ft. General comments Zr and recommendations: J Bcrin 4 LI bcr:ng y g Pi: Grrn:nd surface elev. 7 rt. Depin to bn•itutg factor � tn. Soil i,a::clrcaticr, EaTe t Horizon Depth in. Domicant Color Munseli Redox Descriplicn Cu. Sz. Ccm. Ccka Tex;::rro Sircc:ure Gr, Sz. Sh. .cnsisterce BCLindary Rails GPD It Zff»2 !.1 / `" �/ j .S. C I �/ !AX nrt � « C 3 1 Z Boring k ❑ Bering © P;t Ground surface elev. / / • 7 1. Cepth :o lin•iling factor > / t 7 r. S; ,; ecru orlon Rate Hc(i._en Depth in. Demrnant Celer Munsell Recox Desa-ption Qu. Sz Cont. Cclor Texture Stn:clure Ge. Sz. Sh. cnsistarca cundar, Reds GPD `t ' Idle 1 ENluert -P t = SOD 31) < 220 mg:L ar;d M9,13 - ' 50 mu. l y CST Namh lease Pnnt) ,- S gn iturr CST Vumter 4. il�titrr, ^,�z h.11n 1"r:1111.11h �h r'�inir N lio T�duhh.l•r.: i'tLfitl'�•r ,. �r.�„_�.��,.�..�..._.�.,.�w.,m..,r `.,..e�(... �d,,..-.f...-.....s...3���Y,,.�;��.:....._..,._ «....,__.,..,.. �.......r�+...,}_ r.- 't _.._.�.. „�.F. -. -C.l.- 1 .-♦. �L,._ _ r -_ �.� --. Property Owner 1 � � Parcel ID #�.— Boring :J ❑ Boring 1�11© pit Ground surface elev. (� 7. j _ ft. Depth to limiting factor A''tn. Page _':.__of_ J Knit Annlirntinn P.a7 Horizon Depth in. Dominant Color hlunsell Recox Descr:ptlon Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. 'orlsistence ,oundary Rcots GPD,ft ' ffRt ffz2 El�Z•� ' Bcrir.c = &jr, ❑ p . Grcurd sur."ace elev. ft. Decth tc limiting `actor Scrl Accilca:ior Rav-,� � Hcnz ^ Depth Dominant CeM;r Rjcox Descrp'icn T•;:dune Structure onsister.ce currar. Rcets GPD It ' in. klunself Qu. Sz. Cont. Color Gr. Sz. Sh. i F1 Borric k Ej 6or:ng Ground s�r`ace elev. k. Death tc lirrding raUcr n. ❑ Pit --- Scn Acclicaticn Rate Heczen Depth in. Dcmmart Cck.r Munsell Reoox Descr.t:tlon Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. cnslster:(;e cunuar; Rcats CPC f1 r I f n ; ff»2 t I I Effluent J: t = SOD +> 30 < 220 .:n.l_ anJ T S S >3C < ' 50 mc.L ' Effluent r2 = BCD < 30 m&yL and TSS < 3C mg! I it, Dot. ul Sal,mv and hrofe,ilonal SCI't ti:s is .la i+ltl.li U11141r7111111% J.141C: 1+:JVId,:f alld 1111)10,Yr. I1 Nou 11"d aUiis nc: Lo IICC�Ni �: tb"1:�� (if- jwed malmd In all alt:rll.lti lormal. coal.10 the departm:111 M 1+I1\-'hn- I I or l (hl'Jlt h lt:l.l`:. • ie 1018128 BETH PABST REGISTER OF DEEDS CEFffIFIE® SURVEY MAP ST. CROIX CO., WI RECEIVED FOR RECORD LOCATED IN PART OF THE SW1/4 OF THE SE1/4 AND PART OF THE 09/04/2015 4:10 PM NW1/4 OF THE SE1/4 OF SECTION 20, T29N, R18W, TOWN OF WARREN, EXEMPT #: ST. CROIX COUNTY, WISCONSIN. REC FEE: 30.00 COPY FEE: 3.00 PAGES: 2 UNPLAI TE_D LANDS_ N89'2737"E 452.94' 0 0 O — ---LOT13— i$ 2.00 Acres 87,213 Sq. R. tC Iz c— IA qz LOT 12 ni rx 2.00 Acres O87.328 Sq. Ft. J�BL!�E 464-W LOT 11 2.01 Acres ® 87.393 Sq. Ft. I- " 5O 3111 y Tr t� to Iin_.I-•I— NW1/4-_SE1/4 N I� coI00 SW1/4-91/4 OWNER STEVE DAL.TON 930 BRAVE DRIVE SOMERSET. WI 54025 W I� PO Cn SURVEYOR EDWIN C FLANLIM H I IO IV NORTHLAND SURVEYING, INC. � In P-O. OOX 152 AMERY, WI 54001 B 2OT10 `o� es �t fir' ��c� 89.613 Sq. R. 1 80� i 391.05 \ \ w�w/� y WWWW 1C \Z a W521gT 130.37- S�8"33"19"ir \� LOT9�CC #101 - \ cnzzzal \0 -t V.2?�-P-�_- \, ` zo m � LEGEND 0 \0 1 1 (9 ST. CROIX COUNTY SECTION CORNER l \ POSITION VERIFIED WITH TIES OF `J o` RECORD OR MONIIMFNTFD AS NOTED _-0 3/4' X 18• IRON REBAR SET WEIGHING t S7ET'�� 1.50 LBS. PER UNEAR FOOT 'I 10'1 � TZ O 1' O.D. IRON PIPE FOUND ■ 3/4' IRON REBAR FOUND S114 COP SEC 20 R Q SOIL BORINGS SE COB. SEC. 20 ALUM. MON. FD ALUM. MON. FO. N89'1058 E 498.OT l`f _SOUTH LINE OF THE SEI/4. SEC. 20 AIN N89'1056 F 21t)6.42' — THIS INSTRUMENT ORAFTED BY EDWIN FLANUM JOB NO 1S-02 DWO - CSM DATE S-19AS SCALE IN FEET 1 • - 120' 1 120 0 120 SHEET 1 OF 2 SHEETS SL Croix County 1019128 Pepe 1 of 2 Vol. 27 Page 6150 L7 j O O •� C Cr C O 4. •1 C iC a a',y ..C. bA R orl`i F AA w U 1% F H d yy. C •V w � C O y a h 2 z a • 0 0 0 � O � c1- A `44 N E1 W Industry Services Division County eC 4822 Madison Yards Way J� Cy 1X x �= MAY 1 9 Z023 Madison, Permit Number (to be filled in by Co.) WI 53705 SAN-2023-00�a P.O. Box 7162 Madison, WI 53707--7162 ssRwr! COm it Application State Transaction Number In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to Project Address (if different than mailing address) the Department of Safety and Professional Services. Personal information you provide may be used for secondary purposes in accordance with the Privacy Law, s. 15.04(I)(m), Stats. VV 8�j ' fi� f_] 1. Application Information — Please Print All information (� j I Propel Owner's N• a ,�/� I Parcel # �L}✓� 11SC%t 1' �Gc4�V-� PropeltyOwner's Mailin ddress 77 Property Location )Z5t v N l� ' Govt. Lot City, State n Zip Code Phone Number �^ '1 I-1� I�GY�C:t 0_ � S q L`Il � � r/,, �F 1A,, Section 2y 11. Type of Building (check all tha • ply) Lot # T Z N R 3 E o W M1 or 2 Family Dwelling — Number ol*Berh ___ 2 _ 10 Sulidivisi Name � rt,�0-turQ Block # �ublic/Commercial — Describe Use ❑State Owned — Describe Use CSM Num i I lage of S— t T awn ofIX/ III. Type of POWTS Permit: (Check either "New" or eplacem t" an ther appli le ine eck one x on line B. Complete li C if a licable. A. ew System []Replacement System �ther dification Exist t (expl A it t Ili -circa tnte t Unit (explain) B. ❑Bolding Tank Irr-Ground L:J/Grzid. Mound f Indi ' t'?A tgn Other Type (explai 1 C. ❑Renewal Before Revision hange o' hunber �ransfer to T'�L-w - I r�iofass Permit (Nuumberr and Date issued Expiration 1J y �` (U L 1 2 2/ IV. Dispersal/Treatment Area and Tank Info anon: 3 3 x Design Flaw (gpd) Design Soil Application Rate( d;'st) ersal Area Required -I) DispersalAreea�Pr•oposed (st) System Elevation-15D .�1jr)CnX � n , r Capacity i Total #of Manufacturer Gallons Gallons Units Tank Information New Tanks I Et sting Tm s a U in v: iC. i t7 Septic or Holding Tank v Dosing Chamber I 1�S Df s� ` (,te r i L YP }} / t' 0 I= 1H V. Responsibility Statement- 1, the undersi , assume responsibility for installation of the P shown on the attached plans. Plu ber's Name (Print) Plu er's S umber Business Phone Number nll�e Plumber's Address (Street, City, State, Zip C de) 54u,, VI. County/Department Use Only Permit Fee Date Tssued Tssuin A gent Si natu ❑ Approved ❑Disapproved g g g ❑ Owner Given eason for Denial Conditions of Approval/ided s for Disapproval 3\ V 1516A1 � c.Q� ��-- �¢ �,ACA_zz UY SYSTEM : / ,n,- SDI s aw �e,,,ti- u,eQ2 1. Septic tank, effluent dispersal cell - must be serviced 1ned as per management plan pby plumber. 2. All setback requirements must be maintained as per applicable code / ordinances. Attach to complete plans for the system and submit to the County only on paper not less than 8 t/2 x I I inches In size SBD-6398 (R. 03/21) r� 0 Y a E c L O U m N O ca fn o� ¢ O ' n N O n� Q� W 5 Z Q Owe 0 rn E N N 00 ? O () CM II N N N Co M F _O W U) O CD a V1 C '(A 0U0 / O J- U R U C C v Ln / Ln E M + m vY v U O u d CY i m 3 4.3� En o O In L 31 cu C O 0 N O O Ln .-4 Ln0 L 00 Y r-i N U a 3 I 1S H190T , ALn O ` I O 11 7 \\ a r m 0 M � � I I I / � 1 I / 1 z U L i I S �I —\1 . . 1 r'; ? 1 -H - N ` N x 1 1 1 1 ate. N lti. � a. N U eI' N O v O�yC) W O 3 O 3 N O I I a y J V7 Vl f— O y ui o g d J V1 O O 00 r�l ZZ 0) O 06 -0 II o a � � C � Z^2\ W 22 / 0 O 4— =3 0 O O d (a O O m i \ 1 1 1 / I 1 1 ` 1 ` b V \ J T Lrl � C 3 N � y i � U O f9 fu r O ° `c{'. �C tiY s;v Property Owner/Client: Thomas Mann PIN: 042-1057-20-426 Site Address: 820 106TH ST, Roberts, WI 54023 FLOW.• Pg. 2 SITE PLAN Pg 3 SOIL DISPERSAL COMPONENT Pg. 4 TANK SPECIFICATIONS Pg. 5 DOSING AND PUMP SELECTION Pg. 6 FILTER MAINTENANCE Pg. 7 MANAGEMENT PLAN Pg. 8 MANAGEMENT PLAN Pg. 9 9QIL TEST Estimated SOIL & SITE EVA L UA TION.- INDEX DESIGN PARAMETERS r Type: Residential r Flow: 500 gpd POWTS Type: Non-pr Limiting Condition Depth: 110" Maximum System Depth: 74" Contour Elevation: 92.00' Limiting Condition Elev: 82.83' Land Slope: 3% In -Ground 750 gpd rized Conventiona DESIGNED otion Com, County: ST Croix Pg. 10 SOIL TEST Pg. 11 SOIL TEST Pg. 12 SOIL TEST Pg. 13 SOIL TEST Pg. 14 SOIL TEST Pg. 15 SOIL TEST # Bedrooms (residential) : 5 # Occupants (per capita flow) i Public Facility Flow: NA Treatment Level: Effluent 1 Code Required Separation: 36" Soil Texture: GRS In -situ Soil Application Rate: 0.7 gpd/ft2 Dispersal Cell Loading Rate: 1.0 gpd/ft2 ANT TO: Manual (Version 2.1) Comments: New 5 bedroom home. No home business. (3) 74' Infiltrator Quik4+ STD trenches with dosed- Igravity parallel distribution. Proposed system elevation = 85.83 (74" depth). , I SIGNED: 5/15/2023 N RYAN G. BECHEL D-2263-7 = PRESCOTT zz ADVANCED ENVIRONMENTAL LLC W11932 560TH AVE, PRESCOTT, WI 54021 (651) 327-0074 1S H1901 a c E 9 c a � m F;?. 8 _L a A w� 0 (A`� fV U Q CV O 8 o s 3 .� c� 9 a if) QO a = 3 0 0 Ln 3 it v F ai o c.. i ri — `-' m R 1° t —� N J Vl Vl 0 to Ll. ,Q y '� — s L. c m �+ a0 .O C7 y 32 L � ~ o a o ui �3 m`, °n3o y4IL �r gagSL 10 ll� Ln a 1 1 1 1 Y 1 Q 11 11 c c ` ) + 1 00 1 L) m i co1 11 ZZ � u d cu o 1'1 II 11 S ca U) aj 0 r �yC)� 1 o6 0 = E 111 KJ 11 `t a C n c 6 0 1 Q7 + Z2 0).0 c6 a m 4-J 00 O U l t TES ) E m .0 • a_ 1, -0 0 CZ t ` 'I C 1 �c Q.c a S/,o�Pun vOi O O ? l s1Pa9�nIs'� d CL � O O 1 Ln 0 1 1 € 1 I 1 Zo o o v I 7 + 0 n 0 +I ws i n �— + O 1 y o Qi I T 0 a)}J C i B d C ,1.y./,1 2 f N 1 �L� 1 v J / (!I E A I N U OD 1 \; t .- 4 � 1 v 1� �I 1 � � tf �, a v o l 1 3-------1 a Ei N @ 3 O y sz Owe _ o En 0 /�N V 1 Cl) U)o = t N 3 z 1 r 6 O p p a 3 M w Y Y Q o cn CM \ O O E t Ln .-4 ma .N 11 I� rTi Qi �)0) �N - w w v 2 U) o L N N CD a) > N N (1) 1 0UO �� L a,.................... = M N N HN � V+$ ri 00 aai Ln N CA U L i +0.+ fV t '�� c cti 0. R i u a� °A + M ai ni J ' c O O a f� CL J i O O v ,� U T 00 0. Q m c 00 cv O t!1 u.l O O CL 4-1 W V) Fu 41 Q 0 Q! In Oco o E cr — — Q � ,� o io o a > a) Z L 3 .a C In f0 o a c T" O m.g U Ea co ; c "O o v a- = m v� 0 ° S N a Div O O U o QN Q„ N O Q O 0 0 y Q. 'a Q C O ` J d J Q " Y 009 > U L► M M 00 LM IR Z N M z toCL I I I I Ico V Y m l I I ! E O o y I I I I I I s aw .. o I I I I I I � � °i� •� � tL l-. M M 'T. 00 ui O C n n n O�. cu o l I I I I I 3 s O +4,,, � � co a l I I I I I 00 C O O rn a l I I I I I �^ ON � O0 Oa p O v, . I 1 I I I M I I 1 I I I v bn I I I I I I oz I I I I 1 I o c �, .� o 1 ! I I I I Z 0 1= w rn !_--J L J L�_'J — C a a TANK SPECIFICA TIONS e Minimum cover = 6 inches; Maximum cover = 8 feet (unless specified by manufacturer) • All manhole covers shall extend 4 inches above final grade • If the tank is within 2 feet of final grade, insulate the lid to an R-Value of 10 • Minimum 18" of cover required over building sewer, • Insulate if greater > 30' long and < 42" from grade or if < 60" from grade under all high traffic/snow cleared areas (driveways etc.) • If forcemain will have a 'J-Hook" assembly, drill a weep hole in the "hook" • Building sewer: No 90's, keep 3 feet between 45s, maintain 1 inch in 8 feet (1%) slope, install cleanouts Weatherproof control box compfiant Manhole t4" above with SPS 316 & NEC 300. Separate —�� grade with approved 89.70 .1 92 7 t pump and alarm circuits required � locking device Airtight Clean Out seal Quick Disconnect Sleeve forcemaln in 4" SCH 86.70' 86.08' ' ! 40PVC pipe across tank • excavation to prevent pipe 4" SCH 40 or 3034 g. ewer Effluent Filter \ ,., 7etthng 1"-1.5" PVC Float Tree i 60' 82.0 rT55/950 proved Bedding Material Beneath Tank .-----------------------------------------------------------------------------' Tank Manufacturer/Model: Wieser - WFilter Manufacturer/Model: Best - GF------------------------------------------------------------------------------- Panel Manufacturer/Model: SJE Rhomrt 1 ------------------------------------------------------------------------------------------------ 183 j' fill 11 4' CAST —A —SEAL 11114" CAST -A -SEAL 1� I illl I 2� �� / l II ` II \ FILTER OR l ll II BAFFLE lilf 1� fill 11K fill II I TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REOUIREMENTS WLP1585/950 TANK SPECIFICATIONS DIMENSIONS: WALL: 3" BOTTOM: 3- COVER: 6' MANHOLE: 24' I.D. PRECAST CONCRETE RISER HEIGHT: 53-3/4' O.D. LENGTH: 183-3/16' O.D. WIDTH: 101-3/16' O.D. BELOW INLET: 43* O.D. LIOUID LEVEL: 38' WEIGHT: TANK 13,010 LBS WEIGHT: COVER 9.300 LBS INLET AND OUTLET: 4- CAST -A -SEAL BOOT OR EQUAL INLET AND OUTLET BAFFLE AND FILTER: WISCONSIN, SEE DETAIL OrtO (OTHER STATES SEE CHART) LIQUID CAPACITY: 4t.67 GAL/IN (SEPTIC) 25.00 GAL/IN (PUMP) LOADING DESIGN: 8'-0" UNSATURATED SOIL 83.17' (Pump Off) Veep Hole " Pump Block TANK CAN BE USED AS: SEPTIC/SEPTIC, SEPTIC/PUMP OR SEPTIC/'SIPHON COVER: MIX DESIGN ;8 (NO FIBER) 4- VENT TANK: MIX DESIGN /9 (SMALL FIBER) CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT WIESER CONCRETE 81TLFT il J p 1A ZZ= 'L Q _, a DRAWINGS SUBMITTED FOR APPROVAL APPROVED BY:---—._..—_. SHEET NO. APPROVAL DATE: 1 PROMCIS NEEDED BY: /O .� Pana 4 0c0 W > c_ G W > tat d U w d aCL ... D { a� o. b. , O O N eV � C LA oa w ao to Ln ni ui iA - 1� i11 1� t11 r-1 N M M N 00 00 00 O t` � � O O O N(D N N cn c c ( C p �-+ Z c 0 0 0 0 w i �a[o o — x II w O O o0 (V O 2 2 J J Q = O O cM-I 04 c c C Cc = � w � _ .V O w No N N a) W aai c Z p p p O a) u- .CO -0O Q iS 0 w 0 � O Z O i O t i O I No IAN W O U W U co rn 0 LJU O0 ix 0 uj IZ D (L 1 v ni O 1332 s MANAGEMENT PLAN The owner of this Private Onsite Wastewater Treatment System (POWTS) shall be responsible for its perpetual operation and maintenance pursuant to requirements of SPS 382-384, Wisc. Admin. Code. This management plan identifies operation and maintenance activities necessary to ensure long-term system performance. Tasks that should be performed by the homeowner are identified. Professional management tasks shall be performed by a registered POWTS Maintainer in accordance with SPS 383.52 (3), Wisc. Admin. Code, however, it is the homeowner's responsibility to ensure all tasks get accomplished in a timely manner. Pursuant to SPS 383.52 (2), Wisc. Admin. Code, this system shall be considered a human health hazard if not maintained in accordance with this approved management plan. ► Keep this Management Plan with your Septic System Owner's Guide. ► Keep copies of all pumping records, maintenance activities and repair invoices with this document. ► Review this plan with your POWTS Maintainer at each visit; discuss any changes in product use, activities, or water -use. MANAGEMENT FREQUENCY Design Parameters System Specifications Number of Bedrooms 5 Septic Tank Manufacturer Wieser Design Flow (gpd) 750 Septic Tank Capacity (gallons) 1583 Soil Loading Rate (gpd/ft) 0.7 Effluent Filter Manufacturer i Best Standard Effluent Quality Effluent 1 Effluent Filter Model GF-10 Biological Oxygen Demand (BOD) 220 mg/i Pump Tank Manufacturer Wieser Total Suspended Solids (TSS) 150 mg// Pump Tank Capacity (gallons) 950 Fats, Oils, Greases (FOG) 30 mg/1 Pump Manufacturer Per Installer Treated Effluent Quality Pump Model Per installer Biological Oxygen Demand (BOD) - mg// Dispersal Cell Type Non -pressurized Total Suspended Solids (TSS) - mg// Conventional Fats, Oils, Greases (FOG) - mg// Pretreatment Unit Description NA Max Effluent Particle Size (in) 1/8 Homeowner Management Tasks , Professional Management Tasks Check (listen, look) for leaks in toilets and dripping faucets. Repair leaks promptly. Regularly check for wet or spongy soil around your soil treatment area. Contact service provider if issues arise. Control burrowing animals (gophers, groundhogs, etc.) Keep bikes, vehicles, snowmobiles and other traffic off treatment area. Alarms - Contact your service professional if any alarm signals. Lint Filter - check for lint buildup and clean when necessary. If you do not have one, add one after washing machine. Effluent Filter - Inspect and clean twice per year at a minimum Caps - Make sure that all caps and lids are intact and in place. Inspect for damaged caps often. Fix or replace damaged caps. Effluent Screen - Check and clean per manufacturer recommendations. Liquid levels - Check sludge/scum/effluent levels in all system tanks. Recommend if tank(s) should be pumped. Pump all compartments every 36 months at a minimum. Inspect tank inlet and outlet baffles (if applicable) Check drainfield effluent levels (if applicable) Verify pump and alarm system functions (if applicable) inspect wiring for corrosion and function (if applicable) Clean drainfield laterals (if applicable) Check event counter/elapsed time meter and evaluate water usage rate compared to system design flow. Check dissolved oxygen and effluent temperature in tank. Check for surfacing of effluent or other signs of problems. Verify inspection pipes are capped and intact. Provide homeowner with list of management results and any action to be taken. Septic system replacement area: Protect secondary system site from traffic, compaction, etc. (if applicable) .......... .................... _............... ........................ ._... ......... ........................... ................................ _».................................................. ............. ................ .................................................................................................. POWTS REGULA TOR: ST Croix County Zoning Offlce ADDRESS:.1101 Carrmichvel RD, Suite 1200, Hudson, Wi 54016 PHONE: (715) 386-4680 PAnA 7 START-UP & OPERAT/ON For new construction: Prior to system operation, check septic/pump tanks for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cells. If high concentrations are detected, have the contents of the tank removed by a licensed septic professional prior to use. System start-up shall not occur when soils are frozen at the infiltrative surface. During power outages: Pump tanks may fill above normal high water levels for system utilizing pumps. When power is restored, the excess wastewater will be discharged to the dispersal cell in one large dose potentially resulting in overloading of the cells. Backup or surface discharge of effluent may also result. To avoid this situation, it is highly recommended to have the contents of the pump tank removed by a licensed septic professional or have a septic professional manually dose the system to return the pump tank to normal operating levels prior to restoring power. Do not drive or park vehicles over any septic system components. Do not drive, park over, or otherwise disturb or compact the area within 15 feet downslope of any mound or at grade system or secondary septic system site. MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an appropriately licensed individual or business. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum, and to check for any backup or ponding of effluent on the ground surface. Access openings used for service and assessment shall be sealed watertight upon completion of service activities. Any unsound/defective access openings shall be replaced immediately. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. Ponding of effluent on the ground surface may indicate a failing condition that requires immediate attention by a licensed septic professional. Tanks must be pumped when sludge accumulation is within 12 inches of the bottom of the outlet baffle, or whenever the scum layer is within 3 inches of the bottom of the outlet baffle. In no case shall total sludge and scum volume occupy greater than 25% of the tank liquid capacity. The effluent filter shall be cleaned as necessary to ensure proper operation. The filter should not be removed unless provisions are made to retain solids in the tank that may slough off the filter during removal. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm and should be evaluated by a licensed septic professional. Pre-treatment components shall be maintained and serviced by a licensed septic professional according to the manufacturer's recommendations. CONTINGENCY PLANS If the septic tank, or any of it's components, become defective the tank or component shall be immediately repaired or replaced according to the original system design specifications. If a dosing tank, pump, pump controls, alarms, or related wiring becomes defective, they shall be immediately repaired or replaced with components of equal performance. If the soil treatment component fails to accept wastewater or discharges wastewater to the ground surface, it shall be repaired or replaced by; increasing basal area (if toe leakage occurs), rebuilding the component at the secondary system site (if identified), or removing and replacing biologically clogged absorption and dispersal media and associated piping. If repairs or rebuilding is not possible, a new soil and site evaluation must be performed to locate a suitable replacement area if one has not already been identified. If no replacement area is available, a holding tank may be installed as a last resort replacement POWTS. ABANDONMENT If the septic system fails and/or is permanently taken out of service, the system shall be abandoned according to SPS 382-384, Wisc. Admin. Code abandonment regulations. Requirements include: - All piping to tanks shall be disconnected and abandoned pipe openings sealed. - The contents of all tanks shall be removed and disposed of by a licensed septic professional. Tanks shall be crushed & filled, or removed. - A septic system abandonment notification shall be submitted to the appropriate local governmental unit. WARNINGY SEPTIC, PUMP, AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC TANK, PUMP TANK, OR OTHER TREATMENT COMPONENT UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ALWAYS CONSULT A LICENSED SEPTIC PROFESSIONAL BEFORE DOING ANY WORK. Pane R Wisconsin Department of Safety and Professional Services Division of Industry Services SOIL EVALUATION REPORT In accordance with SPS 385, Wis. Adm. Code Countv Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, ST Croix but not limited to: vertical and horizontal reference point (BM), direction and percent slope. Parcel I.D. scale or dimensions, north arrow, and location and distance to nearest road. 042-1057-20-426 Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes Privacy Law. s. 15.04 1 m . Property Owner Property Location: Thomas Mann Govt. Lot: SW '/4 SE /a S 20 T 29 N R 18 W Property Address Lot # Block # Sutxi. Name or CSM# 820 106TH ST 10 CSM 27-61150 City State Zip Code Phone Number ❑ City ❑ Village ® Town Nearest Road Roberts I WI 154023 1 Warren i 106TH ST rMil New Construction Use: ❑9 Residential / Numberof bedrooms 5 Code derived design flow rate 750 GPD ❑ Replacement ❑ Public or commercial — Describe: Parent material Loamy drift/loess over gravelly outwash (Santiago -Burkhardt) Floodplain elevation if applicable NA ft. General comments and recommendations: Supplementary borings to relocate proposed system. In -ground "conventional" trenches possible with 0.7gpd/ft2 loading rate between borings B1, 64, and B5. ❑ Boring # ❑ Boring P Ground surfac lev. 91.65 ft. Dep to limiting factor >120 in. — �MW�`/�pr wc-a� A11 Ic Horizon Depth In. Dominant C for Munsell edox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary GPD/Ft2 'Eff#1 'Eff#2 1 0-14 1 OYR 2/2 - sil 2mgr mfr cs 2m-vf 0.6 0.8 2 14-27 1 OYR 4/4 - sicl 2mabk mfi gs 2f-vf 0.4 0.6 3 27-43 7.5YR 4/4 f2d 7.5YR 5/8 & 10YR 5/2 1-cl 1 fabk mfi cw 1 f-vf 0.2 0.3 4 43-75 7.5YR 414 - grs Osg ml gw 1f-vf 0.7a 1.6a 5 75-100 10YR 4/4 s-grs Osg ml cw - 0.7a 1.6a 6 100-120 1 OYR 5/4 - cos-grs Osg ml - 0.7a 1.6a 'Horizon 4 &5 had small 4ckets of 7.5YR 5/8 i on leachate (no reductio s; does not ippear indicative f Redoximorphic Features) Borin # ❑ Boring 5❑ g ❑� Pit Ground surface elev. 89.40 ft. Depth to limiting factor >120 in. Snil Annlicafinn Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ftz 'Eff#1 'Eff#2 1 0-11 1 OYR 212 - sil 1 msbk mfr cs 2m-vf 0.4c 0.6 2 11-15 10YR4/3 - sil 2fabk mfr-mfi gs 1m-vf 0.6 0.8 3 15-24 10YR 4/4 - sic[ 2mabk mfi gs 1f-vf 0.4 0.6 4 2444 7.5YR 4/4 f2d 7.5YR 5/8 & 10YR 5/2 sl 1 csbk mfi gw 1 f-vf 0.4 0.7 5 44-64 10YR 3/6 - grs-grcos Osg ml gw - 0.7a 1.6a 6 64-95 10YR 5/4 - grs Osg ml gw - 0.7a 1.6a 'Horizons 5 6 had small pockets of 7.5YR 5 iron leachate (no redu tions; does not appear indic five of Redoxim(?rphic Feature ) ' Ettluent #1 = BOD_ > 30 S 220 mo/L and TSS > 30 < 15n mo/I ` Fffliipnt #2 = ROD 5 30 mn/I and TSS < 30 ma/L CST Name (Please Print) Signature CST Number Ryan Bechel (Advanced Environmental LLC.) 1330832 Address Date Evaluation Conducted Telephone Number W11932 560TH AVE, Prescott, WI 54021 05/09/23 (651) 327-0074 SOD-8330 (K04115) PRMA P [-6 ] Boring # ❑ Boring 0 Pit Ground surface elev. 88.00 ft. Depth to limiting factor 92 in. Snil Annlirntinn Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 'Eff#2 1 0-11 10YR 2/2 - 1 1 msbk mfr cs 2m-vf 0.4 0.6 2 11-17 1OYR 4/3 - sil 1fabk mfr gs 2f-vf 0.4c 0.6 3 17-34 10YR 4/4 - sicl 2mabk mfi gs if-vf 0.4 0.6 4 34-42 7.5YR 4/4 f1f 10YR 5/8 & 10YR 6/1 sl 1csbk-Om mfr-mfi gw 1f-vf 0.2 0.6 5 42-67 10YR 4/6 - Is-s Osg ml cw 0.7a 1.6a 6 67-92 10YR 4/4 - s-grcos Osg ml gs 0.7a 1.6a 7 92 100 10YR 3/4 (saturated) grcos Osg ml - 0.7a 1.6a ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. ------------- Snil Annliratinn Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 *Eff#2 F5 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Aooliratinn Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 'Eff#2 * Effluent #1 = BOD, > 30 5 220 mg/L and TSS > 30 s 150 mg/L * Effluent #2 = BOD, > 30 s 220 mg/L and TSS > 30 <_ 150 mg/L NOTE: The sand in horizon 7 of B6 was saturated, but standing water was not observed (i.e. no water table). No finer texture soils were observed immediately below the horizon that would restrict water movement down through the profile. It is possible that horizon was saturated with rainwater runoff from recent rains that is working its way downhill south along 106th street. However, given the dark (10YR 3/4) color of the horizon and the saturated conditions present at the time of observation, this horizon is being considered a limiting factor for purposes of this soil test report. Paoa in V r E~ N Y � E t ° U m CD 0 C — m U) r y � N O P A m Q � � c`] Q Q� m 5 u 3 Ln Ln O LI) L Ol C O 99 \ Cl 0 coo ` r O � N 15 H190T N v CD O ' N N T W y q N r 3 c CD \ OJ `7 o`e of O w 3 V)�"- E 4 O a O N U O�.y� W o J (n CO So w n. J N \ I 1 \ I O III II 1 O00 2 I CS m II O g F� u g 1 111 " v 0 11 �� r- 00 W o 0 1 O 2i a8 6 1 O II 1 L O T2l ��/VV O /� \ � Q) W Q O u cu OC � pPc ro V)i 1� O O �► c 5 ski ndq L I �9'nas' m O Q O vo E II a. V 2 W �i n I I 1 0 1 1 o E I \ E A O 1 \ N I1 \\ / o'o no Ln F- -4 1 Yf I I 1 c ut �I \ o� a � -I _ —� �z _ CO 0 � ;L Ln - N fu >o m \ L_ — -7 (n -o 0) E C 4+ Cr rn E \ � m \ � m rn \ i L tD V' Ma W O �' CJ m M C u b IQ 4x oo Z 1018128 BETH PABST REGISTER OF DEEDS p4 CERTIFIED C ERTI F1 E® SURVEY MAP ST. CROIX CO., WI RECEIVED FOR RECORD LOCATED IN PART OF THE SW1/4 OF THE SE1/4 AND PART OF THE 09/04/2015 4:10 PM NW1/4 OF THE SE1/4 OF SECTION 20, T29N, R18W, TOWN OF WARREN, EXEMPT *- ST. CROIX COUNTY, WISCONSIN- REC FEE: 30.00 COPY FEE: 3.00 PAGES: 2 %C .- �z 13017 1� UN_PLATTED LANDS N89"23'37'E 452.94' LOT 13 2.00 Acres 87.213 Sq. Ft. LOT 12 N 2.00 Acres 87.326 Sq. FL B © J 0 N82`a5'37'E 464.99 � LOT 11 N 2.01 Acres U 87,393 Sq. Ft, 40T 10) � 2.WA5es 89,613 Sq. Ft.i 391•6'' S18'3329"w 521.31' LIT 9 _C_'S_ i1017582 V 27 P,6143, p0*- �� o LEGEND p ST. CRON COUNTY 1 POSITION VERIFIED 'o RECORD OR m1O 3/4• X 18' IRON R f � 1-50 LBS. PER UN 104 1.O.D. IRON PIPE F TZ ® 3/4' IRON REBAR F m a 33'' 33' F I� o I I�I� c _ NWI/ I� ISWt/ VJ �_ OWNER 2 f I� STEVE DAL 141 j — — 930 BRAVE SOMERSET N IUt o I �o Ir SURVEYOR ID (� EDWIN C F 1 10 Iv NORTHt In P.O. BOX 1 I AMERY, 4Vt I� 1 o I� — r �4 1� lO •7 �i W `D\ Is \ l[--IIv1 6'6\ 1 \ SECTION CORNER \ WITH TIES OF MONUMENTED AS NOTED EBAR SET WEIGHING EAR FOOT OLIND I OUND L. IQ St/4 CQRSEC 20 10 QB SOIL BORINGS SE COR- SEC. 20 1 . w r ALUM. MON. FD ALUM MON. FD. y I_ � SOUTH LNE_OF THE SEt/4, SEC. 20 N8949 '10'55'E 8.07' �(— —i/ N89'10'S6'E 2106.42' THIS INSTRUMENT DRAFTED BY EDWIN FLANUM JOB NO 15-02 DWG - CSM DATE 5-19-15 SCALE IN FEET 1' = 120' 120 0 120 4 - SE 1 /4 4-SE1/4 TON DRIVE , WI 54025 LANUM ANO SURVEYING, INC. 52 54001 1 SHEET 1 OF 2 SHEETS St. Croix County 1018128 Page 1 of 2 Vol. 27 Page 6150 Pan, 12 t 'Ais. Dept- of Safeyand Professional Services Division of Safety an&96 6 ", I ' SOIL EVALUATION REPORT Page _ ( cf �t.'; 'i.'t ';; rr. A,ca>;r�nct: win era .;ao. •ours. /lrm. ,cue Attach complete site plan on paper not less than 3 1!2 x 11 inches in size. Plan must include, but not limited to: vertical and horzontat reference point (61o1). direction and percent slope, scale or dimensions, north arrc•.v, ar�d leca r�d ::on ad;s:ance to nearest road. --- County ! \S J 1 n, `.,, 1r 171 el . ParcD. A 64-7 . 16:57 � 7y (� . Please print all information. Re� •,ved b; Date Personai inlorrallon you provide may Ce used for secandar( p.:rposes iPT:vacy L3:v. s. 15.0.1 (1) (m)). Property Owner Property Lccaticn3 Govt. Lot ti --, 1i1 tit 111• L 10 T c_ `j N R /(Y E tor)VV Property Owner's hlatlingAddress Lat irrk cr CS,LI City State Z p Ccde Phcre Numcer •.)('�',r.'_if _I LU ❑ City ❑ Village ®Town Nearest Road (�] New Construction Use: ® Residential i`iurncer cf becrccn-s Ccde derived design flo:/ rate Y.) 0 i,• t, GPO ❑ Replac 2ment ❑ Public or commercial - Descsce: Parent -natenat F;ocd Plain elevation if applicahte ft. General comments 7 and recor:lmendaticns: L- l Bcfx'i; 171 © pi, Gra.:nd surface elev. I 3. Depth tc 6n-iUng`ar.:rr _' � gin. Sad acnfcaticn Fiala i Horizon Depth in. Domwant Cofer %lunseil Redo Descr!pl r, Cu. Sz. Ccnt. Ciak;r T�_x: re Saucture Gr. Sz. St,. cnsisterce cundar; Rocs q , r ""' a Boring # ❑ Boring Q p;; Ground surface elev. / I• `! Cepth to lin itinc `actor ��/ (%—.r. C; ,i A.^cnrainn Rate Horizon Depth in. Dominant CJer hlkxsed Recox Descr-ptien Cu. Sz Cont. %o cr Texture Structure Gr. S_. Si,. onsis:erca cundar; Rcc:s I `t -, I - '`'2 11, _ Effluert -1 - BOO 34l < 221 -na L acd MSt, Sti; rc t_ E` .uert Q - F , < °U •-na_ and TS, < u_ r c CST N.1rie lease Print) r r S a_natur? \ CST `k rode' hrliirr �. r' t\ Ih: r rth �,,lt+,r, r lui,!i tlu� i •,I••;�h, r• Ph.mt•,•r y ; . r :....-, .. t ....s_ -. � ..- .. �.. .-. � .. r 4r.. � ... 1. ._....�.• ...,«......_�.........._..�.,..-.,A ,...osY.... PAM0% 1 '`a Property Crvner �" I 1 Parcel 10 r Boring Boring " �� • r` Q pit Ground surface ele•1. •� h. Cepth :o limiting factor _ n. - Soil A^DIICahCn Fa. - Horizon Depth in. Dominan: Color h1unsell Recox Descr.ptoon Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. 'onsrstence cundary Rco:s GPD•ft f'=1 `,ai 01 ! 1 MLCiMl m u 5,:r:ng vz, . y Bcrinc = 3 ❑ p t Gmurd surace 5!ev. _ . Depth lc I:rrrtiro `act- Scii A I C,-;.th in, Cominaet Cc!,-,r Munsell RacC( Qu. Sz. C .nt. Color Gr. Sz. Si,. �,7rs:Sterce runc r. Rce:S GFC It I 1 5or.n5 R;lrrc T LJ Pit -- - Sc�:,ccfics::cn Rate Ncr.zen Depth in. Drmrnart ;;c7cr fslunsell Reacx Lescr.Ftien Qu. Sz. Cent. C^+cr Ta:aura Structure Gr. S_. Sh. nCo;; CF_r f• '-2 r j i I Effluent . , = SOD W _ ?" C . , t- TS5 < < ^ c ..^iuent = 2 C D < i i r c • ar,,! T SS < _ :rG'- 1 it-' i)C11i. ,1(�.t(�f� an.t Prr,(e:;tunai SCn :CCS IS .c: c,!u.t: 011110r,- IM01. s.r. tc,r 1"0'. t.;Cr act; ,n11'110-. 1:1 l i'1. t: r,::;l :. ,..,,..1',C , .hXc;. S, rs i:,:> ur nCCd m.it--r:aI in an •ut"InafC Iom::ti. C(III lncl t!Ie .l.h.uur1:11, a! nit�_`nn-' 1 �! or 1 I 1 titr.1e I: R:l.r.. Parer: 14 Wis bn�triBa�Ql&nl P� ft " dd ofessional Services Divi ion of Industry Services MAY 19 ,2023 SOIL EVALUATION REPORT 657- -2023- j� 2- In accordance with SPS 385, Wis. Adm. Code Countv Attac comp lete`site'pl4n'on'paper not legs than 8 1/2 x 11 inches in size. Plan must include, ST Croix but not-4irnike' Vid vie_ el�a'ndlhpkontal reference point (BM), direction and percent slope, Parcel I.D. scale or dimensions, north arrow, dr!-Ttochtion and distance to nearest road. 042-1057-20-426 Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(1)(m Property Owner Property Location: Thomas Mann Govt. Lot: SW '/4 SE '/< S 20 T 29 N R 18 W Property Address �F'3q Lot # Block # Subd. Name or CSM# 820 106TH ST ! 10 CSM 27-61150 City State Zip Code Phone Number ❑ City ❑ Village 0 Town Nearest Road Roberts IWI 54023 1 1 Warren 106TH ST ❑■ New Construction Use: 0 Residential/Number of bedrooms 5 Code derived design flow rate 750 GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material Loamy drift/loess over gravelly outwash (Santiago -Burkhardt) Floodplain elevation if applicable NA ft. General comments and recommendations: Supplementary borings to relocate proposed system. In -ground "conventional" trenches possible with 0.7gpd/ft2loading rate between borings B1, B4, and B5. 4 ] Boring # ❑ Boring 0 Pit Ground surface elev. 91.65 ft. Depth to limiting factor '120 in. Gnil Annlinatinn P.ta Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 *Eff#2 1 0-14 10YR 2/2 sil 2mgr mfr cs 2m-vf 0.6 0.8 2 14-27 10YR 4/4 - sicl 2mabk mfi gs 2f-vf 0.4 0.6 3 27-43 7.5YR 4/4 f2d 7.5YR 5/8 & 10YR 5/2 I-cl lfabk mfi cw 1f-vf 0.2 0.3 4 43-75 7.5YR 4/4 - grs Osg ml gw 1f-vf 0.7a 1.6a 5 75-100 10YR 4/4 - s-grs Osg ml cw 0.7a 1.6a 6 100-120 10YR 5/4 - cos-grs Osg ml - 0.7a 1.6a *Horizon 4 & had small p ckets of 7.5YR 5/8 i on leachate (no reductio s; does not Pppear indicative pf Redoximorphic Features) 5❑ Boring # ❑ Boring ❑■ Pit Ground surface elev. 89.40 ft. Depth to limiting factor '120 in. Cnii A-6-fi- P.I. Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ftz *Eff#1 *Eff#2 1 0-11 10YR 2/2 - sil 1msbk mfr cs 2m-vf 0.4c 0.6 2 11-15 10YR4/3 - sil 2fabk mfr-mfi gs 1m-vf 0.6 0.8 3 15-24 10YR 4/4 - sicl 2mabk mfi gs 1f-vf 0.4 0.6 4 24-44 7.5YR 4/4 f2d 7.5YR 5/8 & 10YR 5/2 sl 1 csbk mfi gw If-vf 0.4 0.7 5 44-64 10YR 3/6 - grs-grcos Osg ml gw - 0.7a 1.6a 6 64-95 10YR 5/4 grs Osg ml gw - 0.7a 1.6a *Horizons 5 & 6 had small Dockets of 7.5YR 518 iron leachate (no redu tions; does not appear indic tive of Redoxim rphic Feature ) i 0iIIM ilit.AI ;161DWOMI1PWffJ191571FUT.MIMMMKIIGE T.11 CST Name (Please Print) Signature CST Number Ryan Bechel (Advanced Environmental LLC.) 1330832 Address Date Evaluation Conducted Telephone Number W11932 560TH AVE, Prescott, WI 54021 05/09/23 (651) 327-0074 , -63JU (tKU4/1b) ❑6 Boring # ❑ Boring 0 Pit Ground surface elev. 88.00 ft. Depth to limiting factor 92 in. Cnil Ralc Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 I "Eff#2 1 0-11 1 OYR 2/2 1 1 msbk mfr cs 2m-vf 0.4 0.6 2 11-17 1OYR 4/3 sil 1fabk mfr gs 2f-vf 0.4c 0.6 3 17-34 1OYR 4/4 - Sid 2mabk mfi gs 1f-vf 0.4 0.6 4 34-42 7.5YR 4/4 f1f 10YR 5/8 & 10YR 6/1 sl 1csbk-Om mfr-mfi gw 1f-vf 0.2 0.6 5 42-67 1 OYR 4/6 - Is-s Osg ml cw 0.7a 1.6a 6 67-92 1 OYR 4/4 - s-grcos Osg ml gs 0.7a 1.6a 7 92-100 1OYR 3/4 (saturated) grcos Osg ml - 0.7a 1.6a 1-1 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Gil Annliro4inn R.fo Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 *Eff#2 ❑5 Boring # ❑ Boring ❑ Pit Ground surface elev, ft. Depth to limiting factor in. Rnil Annlin.Minn Rnta Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 *Eff#2 * Effluent #1 = BOD, > 30 s 220 mg/L and TSS > 30 5 150 mg/L * Effluent #2 = BOD, > 30 5 220 mg/L and TSS > 30 5 150 mg/L NOTE: The sand in horizon 7 of B6 was saturated, but standing water was not observed (i.e. no water table). No finer texture soils were observed immediately below the horizon that would restrict water movement down through the profile. It is possible that horizon was saturated with rainwater runoff from recent rains that is working its way downhill south along 106th street. However, given the dark (10YR 3/4) color of the horizon and the saturated conditions present at the time of observation, this horizon is being considered a limiting factor for purposes of this soil test report. Ril 1 u 3 ra 4� Lf) a) i O O -0 N N 4O 0 N � co cn M U) M m _ r @ A = LU O fn O u N C N C m m 0 U r-) v m U Q10 _ O 1S H190T LL' 0 O N \ v Q LL rd aNi N \00 N Y V b T 2 W (aQ N LLJ O 6NNZ� 0 rn Z Q E O E m o N U 0 O CO\~ P, ~ �� � O0 R and 3iV n F F o ' Ly a o -iv)iH '. 07 8 _ Q y y O .O fp O _ 1-4 se \ I I- ,11 111 I �l 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 \ 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 und9 pa9an�s'tQ -� b 1 1 1 \ 1 \\ 1 1 \ 1 \ 1 \ O p 1 \ II p 7 \\ m 1 \ I 1 I 1 I 1 I 1 I.1 coal I < T Ln rN _ w M Q Co n N � 0 O � 8 C) Ol �^2121l o� 06 SS m " � N i S ° ZZ 00 00 (3) =3 f6 ° 22 of fa S_ C =3 4- ° c �✓ 4— a ° x ro � a ^ v c /(�B ° v' E T° c CL L of E a FE �..— V, ` E / E E �E o E in i} EFb 0 �'o ,_ oz 0 L N LT F VI C6 3 1 !$fir ci z 0 CERTIFIED SURVEY MAP LOCATED IN PART OF THE SW1/4 OF THE SE1/4 AND PART OF THE NW1/4 OF THE SE1/4 OF SECTION 20, T29N, R18W, TOWN OF WARREN, ST. CROIX COUNTY, WISCONSIN. UNPLATTED LANDS N09°23137"E 402,94' Q O B — LOT 13 N 2.00 Acres 87,213 Sq. Ft. N86.24100'E 462.65' LOT 12 N 2.00 Acres 87,326 Sq. Ft. B O 64.99 N LOT 11 N 2.01 Acres O 87,393 Sq. Ft. 49a. 1 33' 133' 1018128 BETH PABST REGISTER OF DEEDS ST. CROIX CO., VVI RECEIVED FOR RECORD 09/04/2015 4:10 PM EXEMPT #: REC FEE: 30.00 COPY FEE: 3.00 PAGES: 2 Ir— I�—IS),_ NW1/4-SE1/4 I� I� SW1/4-SEt/4 9 i� OWNER STEVE DALTON w — 930 BRAVE DRIVE SOMERSET, WI54025 po is jr- SURVEYOR Ip IS) EDWIN C FLANUM to Iv NORTHLAND SURVE Ip P.O• BOX 152 I AMERY, WI 54001 Iww I�---- 1 ,,,��fi11� Irn , Go \S 1 II= 1� 0 ��•�,, 1 � Icn Jr- O C Im 11 Im-+ Irn Mn 9 0'�a suA f�© LOT 10 � (O 8 2.06Acres �p� ` 10 0 89,613 Sq. Ft. 10, w Cr IZ ! 130.37 S70`3g29„W 521.37 \ 6`Ld 6 01 C_SIM \ w LOT 9 - �f1017582 \m 143, D— \ z 0� 1 a LEGEND m 1 J ST. CROIX COUNTY SECTION CORNER 1N \ POSITION VERIFIED WITH TIES OF o RECORD OR MONUMENTED AS NOTED 1 �\ I O 3/4' X 18' IRON REBAR SET WEIGHING \ S1_a 33 1.50 LBS. PER LINEAR FOOT ' 1 �104 56 ® 1' O.D. IRON PIPE FOUND I d T.z ® 3/4' IRON REBAR FOUND � A Nlo Q SOIL BORINGS SE CDR. SEC. 20 SIM CDR. SEC 20 ? a ALUM. MON, FD I 1 SOUTH LINE OF THE SE1/4, SEC. 20 ALUM. MON• FD• N69°iD'5WE 498.07' JIY= N89'IU56'E 2106,42, THIS INSTRUMENT DRAFTED BY EDWIN FLANUM JOB NO 15-02 DWG - CSM DATE 5-19.15 SCALE IN FEET V = 120' 120 0 120 YING, INC. Z� wFoF0 UU 0Nx pp 0 WUU oaF w� ww w. N N 0 2, zzZ cg5 0 Nmo SHEET 1 OF 2 SHEETS St. Crolx County 1018128 Page 1 of 2 Vol. 27 Page 6150 0z7 R E C. ....'."� eAo Wis. Dept. of Safety and Professional Services SOIL EVALUATION REPORT Page of Division of Safety and Buildings �,,,, i , , in accordance with SPS 385, Wis. Adm. Code County Attach complete site plan on paper not less than 8 1/2 x 11 inches in sizo. Plan must Include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. A percent slope, scale or dimensions, north arrow, and location and distance to nearest road. r ,'141Z • /6$7 6 Please print all information. Rev /{wed by r� , Date Personal Information you provide may be used for secondary purposes (Privacy Law. s. 15.04 (1) (m)). } ;; Property Owner Properly Locatlon j,_ 3 F / r 5 tr V t 04 Pd /tJ Govl. Lot.A.) w 1/4 ;v t - 1/4 S T Z '�/ N R /try E (or) W Property Owner's Mailing�Address Lot # Block # Subd. Name or CSMP, 9.3o City Stale Zip Code Phone Number ❑ City ❑ Village QTown Nearest Road Jo M New Construction Use: Q] Residential I Number of bedrooms J " `{ Code derived design flow rate '/J U - 6, 00 GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material Fiocd Plain elevation if applicable h. General comments and recommendations: / Boring # LJ oaring y I ® Pit Ground surface elev. 7, 7 ft. Depth to limiting factor in. Soil Ac Ilcation Rate Horizon Depth in, Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. onsistence Boundary Roots GPD P, 2 'ff41 '$f-,2 �i ; ^ n - - J16 7. Sysy/'r - n.r r ,�, - 7 / 7 r FBoring # Boring 1) Q Pit Ground surface elev, 7.7 rt. Depth to limiting factor ' / / ? in. Horizon Depth in. Dominant Color Munsell Redox Desorption Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence oundar/ Roots GPD,ft ' i m1 ff#2 n v .-• / tnuten(M 1 = BOD , > 30 < 220 mgrL and TLKS'>20 < 150 mg;L ' Effluent 112 BCD < 30 mgiL and TSS < Miff f 1. ;ST Nam( lease Print) 1 c Signature \ CST Number ` r:•t ('- . 1.( C. n w, �, r 1 i �,1:►-.e`�tl +-. `. -3 t-.t-. • � 5 r. \ G. 4..�• �')' % �! �ilrirm.;;r �7 Dtitst Evcrlu:dhon C� r00 Wil TolopMolia MUntbnt ProF311 pertty Owner '� I d 10 Parcel ID fl Boring 11 Boring pit Ground surface elev. T % • J. ft. Depth to limiting factor tn. Page "� of Snil Annliratinn Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu, Sz, ConL Color Texture Structure Gr. Sz. Sh. onsistence 3oundary Roots ' GPDift _ff#1 ' "ff#2 Vy Boring ❑ Boring ❑ p,t Ground surface elev, ft. Depth to limiting factor in.Soil Application Rate Horizon Depth Dominant Color Redox Descr ption Texture Structure onsistence oundary Roots GPDifI In. Munsell Qu, Sz, Cont. Color Gr, Sz. Sh, ffill ff,2 (—� ❑ Boring " --""I " ❑ Pit Ground surface elev. — - It. uepin to nn;nmg 1dcw1 01. Scil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. onsistence oundary Roots ' GPDIft ' "ffa1 •02 Effluent #1 = 600 9 > 30 < 220 mg1L and TSS >30 < 150 mg; L Effluent 1#2 = BOD < 30 mg;L and TSS < 30 mg;L The Dept, ul'Salety and Profe;siunal Services is :ut akµ1al opportunity soleico provider and employer, If ,you nerd assistance to ucccss 1.01 vices or 1wed In: serial in an alt.rnale lunn:tl, contact the department at W8-20-3 151 or TTY through Rek,%'. "al .o ui , t111.1 I RECEIVE{ FEBFE B `19'' ,Dep ` ent of Safety Proi essiomW Services, ST. tMl"str 1 Services DivisionSwlituy Comm±i.Development Sanitary Permit Application ht sot ordaaoe w+ilh SPS 383.21(2� Win. Adm. Cok subminion of tiis form to &a appaoprisic goveromeatal unit to raTdrod Prw to o�tug a jury PM Ness: Application forms for staoo-owned POWTS tic metal d a doDT_tn int o1Ss'"y sad Prorwslooal &n'ces. PersaoW mfGml l urPomis aoeordaece with the l a�v, a 13A4(]xm� Stsis. Y� provide may tx used for s000ddary L Appkobs V _ ' 0 2 county r, 1. A41 Permit Ntt ber (to he filled in by Co.) (049 l"� Stye Transaction Number I PrqjWAddress (if dlfiessat thm mailing addrcas) Property Owaes's Name Sr, d '` Z/s4 Pared 10 iVdAJA1 Pr Prey Owner's Malmo Address /os7prop y City, Suite r zip Code Number Gow. Lot a wr sya,s tp s £ YS Jo M Type of BKOdEag (Cbt& all that apply) Lot a �D 9 x 7] 8 Pf I or 2 Family Dwelling - Nu ofBedrooms Jr � W Subdivitrim Name ❑ Public)Commennal - Describe Block N "r 0 State Owned - Describe Use IL 0 City of _ClsQ ❑ VilLageo K bC !R z U $fT f ,ei[EN FIL Type of POWTS ( { M a liwble. ud sPP wa 1Mrie (3are![ osae laz ot� re D. cm"Aele Hne C � New System ❑ RqA&*en*w S ❑ otbar mVfim. to Fainting ( ❑ Additional Pretrunit (explain) B ❑ Holding Tank hh_.� Ae C'r'd° ❑ Individual Site Do* ❑ 06erType (CLP) C. ❑ Renewal Bcfote ❑ Revision ❑ o ❑ Transfer to New Previ Permit Number and Dane issued E.xpiraiion AM and Tank Design Plow (gpd) Dasip Soil Appliragon Raie(Xdfsf) aqutred (st) Dispersal _ Sysoata Fkvation Mof Tank h6nnedon dYoosm T Nit �Ia+r Exw" &S 1iv-W-Csink $ TM*J \ 6t Q ar 47i is a, A. r .0.) Uuig C>rrr AM 9 S0lSo 1 Lc.tr.6o �- PStatat+t■�t- I, the rixaipa� stttx�a far lamw riw the >�r9 dmM tstie atdrered pun. Plumber's (Prvrt) rf�'a Pbmrbar's / MP4QIRC Nt�ber Bas�eas Phone lh�ber l Ail" ' e 0 ✓A- 98 S v1. G t? r, t> .? 5 ,Qu�cA,.r v 4/1- S 3G XAppmved © Pat>ait Fsr Dore Issued 53 5 ❑ won far Z Condition EM OWNER: 3, I. Septic tank, effluent filter and dis real cell 83 must be serviced I maintained per , management plan provided by umber. c�, PJ Prt9vt S 2. All setback requirements must maintained LMWQN ft. tr. 1 r7y���a� SBW6399 (R. 03r12) "^h L A a ' � W r v V? V� VV wyr` ~ x ` a aQ V.z _ O �= I K •wc O v �- r, I TIC 9 r1 a •7 V Ovj A'Q Q V to F � t n T G V 4p �x A � � n 'r o�qi Page Iof7 Private Onsite wastewater Treatment System Index and Title Page Project Name: Tom f LISfi a is Owner's Name: '' '' go Owner's Address: 3 ?, A .To i,r.,�o Aho LJ Z 5y4i Legal Description: S ��. S 6� R 9 N /8 4) Municipality. To`vm_ Village, Q' of Ci AAoEN County. Sr. etaix Lot Number: /O Block Number: GSM Number: J 7 - C/J'o Subdivision Name: 8,20 Parcel I.D. Number Y.?-1637-,14 - yJL Page 1 Index and Me Page Page 2 Plot Plan with Suction dt PI View Page 3 Septic Tank / Pum Chamber Section & Specifications Page 4 Pump Performance Page 5 POWTS Owner's ual Management Plan Page 6 POWfS Owner' ual & meat Plan Page 7 Filter Inf n Name of Designer Signawre: Date: ' 1- "In-pound Soil Aloorption Component Manual for POWTS" Version 2.1 (May 2022-2027) Auwl meat: Soil Evaluation Rgon F r Y ry 14 V ~ 1j M t ` V Page 3 of 7 COMBINATION SEPTICIDOSE TANK CROSS-SECTION (DRAWING NOT TO SCALE) MANHOLE RISER & COVER FINAL GRADE (per 9PS 3N 2Kn a (S). approved faam womw aratecs aaay from bckinG deuvow. & wern6v labr.- EI menhol (a) for proper drahapa) maMeria dear as necessary.) 4' Min- Sch. 40 PVC Tank Vent ELECTRICAL located 12' above pride or 24' 4' h&L Sch 40 PVC Tank Vent JUNCTION BOX obO1e Rgorrl Flood Els soon BUILDING SEWER lacded t2' above grade or 24' (per SPS 382.30(11)) above Ragianal Road OWaGon (Canply with BPS 316 and NEC 300) FORCE MAIN <t r OPTIONS e e �4• e ee S 8 NVK . i e ee Miw+oe.2 Farce Main BOTTOM Fia♦t Tres — Gn.rr eraralior� I i I 3' Hid. I �1, P Es r ---► llEaeRYf "adi r%d ���,. ...,,�...... /44 Y3 / c On Fb. r aLFT F" Approv" Ode F 6 ' MINIMUM OF 3' OF SUITABLE BEDDING TH TANK 3 MAXIMLOA BURY DEPTH OF W AnchofN of tank may per SPS 383.43(8)(9) Tank Manufacturer. 41 E EL "eAErl' aily Wastewater Flow (DWF): '74'D GPD SepticlPump Size: SOX Sa ballonS N ber of daily doses: S 3 C /9 P-) Alarm Manufacturer: Model Number. Switch Type: Effluent Pump Manufacturer. Model Number. Minimum Discharge Rate: E, Ql16PP Force - volume: �S ft x . /43 gan = 73 gal c Et I 7 3 l_ /Y7.7 ei A.li t Actual dose me: /Sa gal - ga - 9 (total volume - volume of force main) ZdE sl PM Vertical lift (pump off to lateral invert)............ E _ ft System head (distal pressure x 1.3 ft): — ft yS ft Force main x , L Y 1100 triWon factor .7 ft Fifer frK:Uon loss ...................................... — R Total Dynamic Head (TDH): 4.3 ft DOSE TANK CARACITIES: Reserve above alarm a.2 in = SSb gal (D) Alarm float above on That _ 2 in = SO gal (C) On/Off float measurement_ in = 1Sd ..__ gal (B) Off above tank bottom .8 in = A200 gal (A) DOSE TANK DIMENSIONS: Length in Outlet height in N Width 140 in Gallonatinch ?S.O CONSULT FACTORY FOR SPECIAL APPLICATIONS • Timed doexV panels available. • Electrical akwn*n, for dupim systems, are available and supplied with an alarm. • Variable level control switches are available for controlling single phase systems. • Double piggyb ad variable level That switches are available for variable level krlg and short cycle oontrois. • Sealed Qwik-Box available for outdoor installations See FM 1420. • Over 130°F (54°C) special quotation req,riired. 131f13>ltfS3 IIOAFf.S1 modw 0, Wk cW&W >o111eNen I _N161 115 1 115 1 Non Aub a0 1 2ar3 eM151 U ' hIck did I 2 on 3 E151 230 1 Non 3.2 3,2 1 2 or 3 BE161 MO 1 Aub_ Ybni1 24r3 k16 115 1 Nm &5 1 2 a 3 ltitl52 /15 1 Aub aS kxhdN 2ar3 E1 _ Z301 1 a BE152 � 1 Aab 4.3 IirbW 2 «3 N1 1 Non 1 I or BNts3 116 1 Aw fay builbd 2 or a E153 230 1 1 Nm S3 1 20r3 SE153 230 1 Ardo &3 64mbd 2 Q 3— TOTAL DYNAMIC HEADIFLOW A L aF 7 PER MINUTE EFFLUENT AND DEWATERING MODEL 151 152 153 FM Mora Cat th- GA I tins t:arl I imn 5 1-5 W 211 eY I 261 7r I 2a1 to 310 45 170 61 1 231 70 266 1S l6 31 10 53 201 61 231 26 [1 20 110 44 19 a IF 25 76 16 61 34 126 42 1S9 30 91 - - 23 S7 33 0 66 SMbd H1d JO L t! ]6l (1, &nl 44 L Son Model 151 40 �I 3 7a1 I � i �,v„ l - 4 WE sroaaa Single piggyb2d vanable level boat switch or double piggybaa variable level boat switch. Refer to FMD477. 2 5ee FW712 for correct model of >=leci kA Agernslrr E-Pak 3 Varable levee control switch 10.0143 used as a cmvu acavalor, spwxy kWx (3) or (4) float system. ar® Models 152 / 153 »M "Easy assembly" (P" a dK%Vp voe -r Reduces potential dogging by debris. Replaces rocks or brides under the purnp. Made of durable, noncorrosive ABS, Raises pump 2" off bottom of basin. Provides tie ability to raise intake by adding sections of 114" or Z" PVC piphg Attaches me rely to pump. Acconlrrlodates sump, d"atering and ei0umt applications. MM: Make cure Boat is fret+ from obstruction. . .:�WERED DESIt,�I. For unusual conditions a reserve safety factor Is engineered into the design of every Zoeller pump. s 0 Copyright ZM Zoollor Co All ngMa roacrvm disinfectants, pesticides, antibiotics, solvents, etc., should not be flushed into the system as they can seriously damage your POWTS and contaminate your drinking water supply. Maintain a regular steady flow, by spreading laundry washing throughout the week. Avoid vehicle traffic over all system components. Compaction of snow over the dispersal unit may cause it io freeze up. INSPEQIONS & MAINTENANCE: Inspection shall be made by an individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, PON TS Maintainer or Septagc Servicing Operator (per the attached Maintenance Schedule). Tank inspections must include a visual inspection of the tank to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and check for any backup or ponding of effluent to the ground surface and test all electrical equipment such as pumps and alarms. Any defects shall be promptly corrected. Exposed openings greater than 8 inches in diameter shall be secured with effective locking dc-t ices to prevent accidental or unauthorized entry the tanks. When the combination of sludge and scum in any tank exceeds one-third (113) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with Chapter NR113, Wisconsin Administrative Code. The outlet filter(s) shall be inspected and cleaned to remove any accumulated solids according to manufachtrei's specifications_ Solids washed from the filter shall be retained in the tank. Filter cleaning may be necessary at more rr quent intervals than stated in the maintenance schedule to keep the system operating. Alarms should be tested on a regular basis by the home owner. If an alarm sounds, contact an individual licensed to service POWTS, There is normally a 1 day reserve under regular operating conditions, however water should he conserved until any problems with the system are corrected to prevent back-up of sewage into the dwelling or surfacing. ABANDONMENT: When the POWTS fails and/or is permanently taken out of service the following steps shall he taken to ensure that the system is properly and safely abandoned in compliance with Ch. SPS 383.33, Wisconsin Administrative Code. AU piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. - After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or other inert solid material. CONTINGENCY PLAN: if the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot tines and wells. Failure to protect the replacement area render it unusable. Replacement systems must comply with the rules in effect at the time of replacement. ❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. ❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area, if no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. p Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules to effect at that time. «WARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTIAN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEf-FIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name Xo//N ECKr MP-.?3/3y[ Name t11XeE Ia"A/d6 Phone )!S 4 72 S?l( J Phone 7/S 747- S.? i t SEPTAGE SERVICING OPERATOR (Pumper) DLO —CAL REGULATORY AUTFIORITY T dame 1 Agency Sr CAo.x Lanlr",Irr• Q!'yfta/xir r Phone Phone - - /S341 -e yl BG Page 6 uf2- Vlb - ST. CRO UNTY SANITARY SYSTEM File#: Office Use Only OWNERSHIP/ADDRESS FORM c►wtedz/2oar Community Development Department will utilize this information to provide the property owner with information regarding operation and maintenance of your new or replacement sanitary system! This information will be provided as part of our ongoing efforts to protect public health, your well, groundwater, surface water, property values, and county resources. Once approved, this completed form and educational information will be sent to you by email. If you would like to view your issued sanitary permit online, you can do so by using the Property Files Scanned weblink. Owner/Buyer OWNER/BUYER INFORMATION Thomas Or Lisa Mann Mailing Address City/State/Zip 1320 Marjorie ST Hammond, WI 54015 Phone Number (►equired)920-629-0592 Email Address (required) Immann@hotmail.Com Parcel Identification Number 042-1057-20-426 (found on the property tax bill) NEW SYSTEM: LEGAL DESCRIPTION Property Location SW '/4 , SE '/4 , Sec. 20 . T 29 N R 18 W, Town of Warren Subdivision Plat: Lot # 10 . Certified Survey Map #6150-CSM 27-fi150 042-2015 volume'�� lt�1>s t� Page # Warranty Deed # l ls707Z_ (before 2006)Volume Number of bedrooms 5 Spec house 0 yes ■ no Lot lines identifiable 0 yes 0 no New Property Address --.2 lk--- to Initials) OFFICE USE ONLY �v�� sl- (Verification of new address required from community Deve (Date) Department for new construction.) This form must be submitted with all Private Onsite Water Treatment System (POWTS) applications. New System: Include with this form o recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. Community Development Department - Land Use Division 715-386-4680 St. Croix County Government Center 715-245-4250 Fax cdd9-"CCw1 cclo 1101 Carmichael Road, Hudson, W) 54016 wV.:vsc,.:vi.<7ov UNOFFICIAL COPY Document Numbor State Bar of Wisconsin Form 2-2003 WARRANTY DEED Document Name THIS DEED, made between,_ Steve Dalton ("Grantor," whether one or more), and Thows Mann and Lisa Mann, husband and wife ("Grantee," whether one or more). Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in St. Croix County, State of Wisconsin ("Property") (if more space is needed, please attach addendum): That part of the SWIM SEIM of Sec. 20-729N-RiBW, Town of Warren, St. Croix County, Wisconsin, described as follows: Lot 10 of Certified Survey Map recorded in Vol. 27 of Certified Survey Maps, Page 6150 as Doc. No 1018128. Exceptions to warranties: Easements, restrictions and rights -of -way of record, If any. Dated.��/ 1157892 BETH PABST REGISTER OF DEEDS ST. CROIX CO., wI RECEIVED FOR RECORD 08/25/ 2022 09:02 AM EXEMPT*: REC FEE 30.00 TRANS FEE 360.00 PAGES: 1 **The above recording information verities that this document has been electronically recorded S returned to the submitter Recording Ara Name and Return Address Attorney Kristina Ogland 304 Locust Street Hudson, WI 54016 042-1057-1M2 Parcel Identification Numbs (PIN) This Is sot homestead property. (is) (is oot) (SEAL)_.AL&E oJ� (SEAL) • *Steve Dalton (SEAL) (SEA-) AUTHENTICATION Signatures) t authenticated on « ad TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by Wis. Stat. § 706.06) THIS INSTRUMENT DRAFTED BY: AttgrueX Kris OsEland Jludsoa WI M016 STATE OF ACKNOWLEDGMENT COUNTY ) Personally came before me on the above -named to me known to be the person(s) who executed the foregoing instrument and acknowledged the same. Notary Public, State of My Commission (is permanent) (expires: 1 (Sipatores racy be aatbenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DWM C 2003 STATE BAR OF WISCONSIN FORM NO.2-2003 • Typc nime below s4patures. INFO- PRom Leo Forms a004M&2021 vwrw.anf0Pr0forrns-c0m St. Crone County 1157&W Pape 1 of 1 CERTIFIED SURVEY MAP I()(,AIII)IN1`AIIIOI 1111 SWIM(N MI. SI 1/4ANOI'Ali I ()1 IIII NW1/40I 1111 `;1.1/401 SICIION9(1.124N,1i18W.IOWN(N WAIWIN '.I CFIOIX Cl)UNIY. WI';(:ONt;IN z I urvr tr n r rr.tr [nnrvL�— NIM171 462,94' x 1 ilsl LOT 13 7 rt1, A,ana , A7.91f1 .1 rl m67- y0 . 4zq Is hill%-J41an AF �'• of 04 t _ 1a57- Zo _ 4Z8 g w LOT 12 « ' INI A,-rrc 11l.IX.:r1 rr ' I� r I� Fmlr� _1 r1A I= IaJ I� f 1 011fNER 1 fly, F , I F VI I IAI I r x 1 IT7 r1:MI R1 LAW INtry{ ;tm Ft.741 WI I,AIIlr, lv, �u !yIr SUMEYOR ( I MNIN r' 1 I ANI IM 1(D Iv rMill 140ANII;d011rVth;.11)PIV IX I AMAlir All 'All,I �Ch _ ` - 1~ s; s W V J --1 wWul LI �u I I Z u rL F IL ^., LEGEND V N ["rltlhl+N It oal IN/tA[,r NpR t ` ;`1 v IN I:JIM IN v}fiNNllwllll lit !:,N �1 co I — 103 sco 1-4 IW l ' Ifni () z LOT 11 A �N/ `-' 13, ?IFIA,a,�cT� Im /.7,F."i!.I rl l 1 1 n �. Z0 . �� (3 LOT 10 , t ZO .3�9 -4\ r,21.3T I N r -I Nq I r N I IJ[ MJI IM(N 11 1 1 A^ I+N I I 1 1 ',ju1 J IJA• x SFr 1111 rN 111 FANI ;1 1 m M irNw I f.r� Ilallll: 11NIIIBNi1,Ml1 , 1 yI 1 111A '� `IZ � r,tlJllNlfll'llvrlawm[ I I l'A'N11 NA ITIVF f IMNMI IN SI/A il III FI Al� 6 J NI*A NJ III N IMA Mt rN 11, ✓„lit II ItA IN IIN r71JA,'J 1. A) 1 Ntordiv *m rill 1 IAw Iff"Ir•1 11i Ni 47 IWW t SCALE IN FFFI V - 129' I I I' W. 0,4^.111111 IAAF NI I N IAl I F I/ llr I I fill I I AM IM N NAMI I-, IV I11 l I:AA Iwli 1,10 II, 120 Q 121 ;ipI1 , 4 l'lrll11'. 0 CERTIFIED SURVEY MAP 1INt I -1 f 11 f ' f lV'r 1N�2i7lrt 02 94 .'• i LOT 13 nwMn, - u _._ � SURMI rUl1 LOT 12 f a 4 � o LOT II A-9 ' 10 s � sly u, Lr II11 Ir(A NtI ti • l ov i IC44F w FFf1 I - IN 122 9 1T! 1018128 BETH PABST REGISTER OF DEEDS ST'. CROIX CERTIFIED SURVEY MAP RERECORD FORR RECCOO LOCATED IN PART OF THE SW114 OF THE SE114 AND PART OF THE 09/04/2015 4:10 PM NW1/4 OF THE SE1/4 OF SECTION 20, T29N, R18W, TOWN OF WARREN, EXEMPT *: ST. CROIX COUNTY, WISCONSIN. REC FEE: 30.00 COPY FEE: 3.00 PAGES: 2 130.� SIA CDR ALUM. M UNPLATTED LANDS Na�rE 46LSC oo® - LOT 13- 2.00 Acres 87,213 Sq. Ft. LOT 12 2.00 Acres 87,326 Sq, Ft LOT 11 2.01 Acres © 87.30 Sq. Ft F---- - - - 33 � 33 'C7 IO I�A I_, • SE114 — I� Ipp _ .NW114 SW1/4 • SE114 OWNER STE<DALTON Id I� — 93D BRAVE DRIVE I SOMERSET, WI54025 � j� jr- SURVEYOR Id 10 EDWIN C FLANUM IO Iv NORTiIAND SURVEYING. INC. In P O. BOX 1$2 AMERY, WI 54001 I(b OD 1Isla4'i I� 14 I 1 1m I°1 1 1� OT 10 89.613 Sq. Ft 391 � 5213T 5 LoT 9 ��•C #1p17582 z1 vJ276j43� --'— ��` LEGEND J. l 0 1 1Ei ❑ RZz � SEC 20 �tl ON. FO W N89.10' R 4 O7' THIS INSTRUMENT DRAFTED BY EDWIN FLANUM JOB NO 15-M DWG - CSM DATE 5-19.15 Nai ST. CROIX COUNTY SECTION CORNER 1 POSFnON VERIFIED WITH TES OF RECORD OR MONUMENTED AS NOTED &4' x IT IRON REBAR SET WEIGHING 1.50 LBS. PER LINEAR FOOT 1' 0.0_ IRON PIPE FOUND 3/4' IRON REBAR FOUND B� SOtL BORINGS SE CDR. SEC 20 ALUM. MON FD. SOUTH LINE OF THE SE114, SEC. 20 N89'10'SVE 2105 42' — SCALE IN FEET 1" = 120' 120 0 120 RN8 0. 05 K Vf � ••: Ii If 'moo^ �w� 71 HH SHEET 1 OF 2 SHEETS St Croix County 1018128 Pape 1 of Vol. 27 Page 6150 SEE 03 't015 Wis. Dept. of Safetyand Profe sm I Services SOIL EVALUATION REPORT �OUt`'TY Page CI Division of Safe*an�iil♦ 1X 'OMMUNI OLD �_L WMEMnce with SPS 385. Wis. Adm. Code County L `•' XPQ Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horzontal reference point (BM). direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel .D. 64Z /,6$ Please print all information. Re wed by Date Parsons, in►orrration you provide may be used for sacwdary purposes (Pmracy Law, s 15.64 11) (m)) 4I Property Owner %� Property Location,fw J Sf r v t �nr / J f � Gout. Lot )U .►+ V Alt 1iG Z- p T c'. � N R E,or) W Property Owner's Marlin Address 93 17,r_ t z Block z Subd. Narmfi cr CS&W Z 7- (s/ S4) vvt . C State Zp Code Phone Number ❑City ❑ village ElTown Nearest Road �h 1lv,i A- tit I& New Construction Use ® Residential , Number of oeerooms 3 - `i Code derives design flow rate ��J O - 410 0.GPp ❑ Replacement ❑ Public or commercial - Describe: Parent matenai Food Plain elevation it applicable f; General corrvnents and recommendations: String # u Born5 Pi; Ground surface elev l- i 1. Depth to hmdmg'acter n- Sail Acciicatior Rate Horizon Depth in. Dominant Color Munsell Redox Description Cu. Sz Cont. Color Texture Structure Gr- Sz_ Sh. onsisterce cundary Rocts GPC r Z '� /o7tiy�H 7,4 74 2 ❑ Boring Boring •f -- ❑ p V ® p„ Ground surface ele�v. / 7� 7 1. Cevm lim :o itinc,'actor 7 SCii dCc+iration Rate Horizon Depth in. Dominant Caler Munsell Redox Desorption Ou. Sz, Cont. Color Texture Structure Gr. Sz. Sh. onsis:erce Boundary Roes GFD't - / - /014L 311 j t�--f oit `pi(, — �' l ) t'- {> > _ L 3 mlc s i !•J7� Y�Y .J .l i ' Effluert X1 - BOO , ? 30 1220 mgrL and Wr30 < :50 r-.rL ' Effluert a2 = 800 , < 30 rngl_ and TSS < 3t: rrr_ CST Na Print) S,gnature CS 7 Numcer QC. K C Addr�sar PCate Evaluation CCnducteC Telepncre Num er F'v� �"t s -j lid IJ Page Ili- of Property Owner Parcel ID fk '� 37 Boring Boring ❑ � pit Ground surface elev. � 7.3 ft. Depth to limiting factor > n Shc 4vicaucr Rate Horizon Depth Dominant Color Recox Descrption Texture Structure onsistence cundaryER03ts , GPD' z in. Munsell Qu. Sz. Cont. Color Gr. 5z. Sn. L j vy I Boring a ❑ Boring ❑ P.t Grcund surface elev ft. Depth ie limiting `actor n. sod A^Rage Hcnzor Depth Dominant Cow Recox Descrpuon Texture cns,sterce 3curdarj, Rccts GPC 11 ff=2 in. Munsell Qu. Sz. Cont. Coicr Gr. Sz. St. 1 ❑ Boring # Boring Ground surface etev. ft Depth to limiting factor n. a ❑ Pit Horizon Depths Dominant Celer Reoox Descrruon FTT;";;;Tu�re5tucture onscster,ce untlary Roots in Munsell Qu. Sz. Cont. Coto z. Sri. Effluent zt - BCD , > 30 :E 220 me L and TS5 >30 < 150 r-w L - Effuern ., 2 BCD , < 30 mg L and TSS a 3C rrc L aucn Rate ft The Dept. of Safety and Professional Scr%ices is aft equal opportunity ser%ice provider and emplo,.er. 11 you need assistance w access services or need matenal in an alternate format. contact the department at or TTY through Rela% Stn.3))U,RII fir a r� a T h G O ICI d�00 4 H O a